Angela S Corsetto, LMP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MA00018647 Issued in WA

Practice address

9716 NE Juanita Dr
Kirkland, WA 98034-4202

Phone

(425) 823-5333

NPI assigned

Dec 12, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiropractic Services Northwest, PS

  • Chiropractor
  • Kirkland, WA
  • NPI 1154504942
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1942546387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7054 123RD AVE SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980561215",
            "telephone_number": "425-829-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9716 NE JUANITA DR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344202",
            "telephone_number": "425-823-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSETTO",
        "first_name": "ANGELA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "MA00018647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "172M00000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Corfman, PTA
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• Maria Coronado Rebolledo
• Krista Nicole Cory
• Shendy Mayerlline Costabel, OTR/L
• Olivia Simone Costarella
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• Chiropractor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.