Active NPI
Coralyn Alexander MD PA
- Mental Health Counselor
- Twin Falls, ID
National Provider Identifier
1962556787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- M6940
- Legal business name
- CORALYN ALEXANDER MD PA
- Practice address
- 488 Blue Lakes Blvd N
Ste 102
Twin Falls, ID 83301-4800 - Phone
- (208) 734-3900
- Fax
- (208) 733-9463
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Coralyn Alexander, MD
- Title
- Owner
- Phone
- (208) 734-3900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | M6940 | ID | Primary |
Addresses
Primary practice location
488 Blue Lakes Blvd N
Ste 102
Twin Falls, ID 83301-4800
Mailing address
PO Box 2103
Twin Falls, ID 83303-2103
Phone (208) 734-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808649500 | Medicaid | ID |
National Provider Directory
National Provider Directory- Tax ID family
- Coralyn Alexander MD PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Twin Falls, ID
- NPI 1861718561
-
- Psychiatric/Mental Health Nurse Practitioner
- Twin Falls, ID
- NPI 1013191915
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Spokane, WA
- NPI 1194713487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282089600000",
"number": "1962556787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2103",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833032103",
"telephone_number": "208-734-3900",
"fax_number": "208-733-9463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 BLUE LAKES BLVD N",
"address_2": "STE 102",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014800",
"telephone_number": "208-734-3900",
"fax_number": "208-733-9463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORALYN ALEXANDER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2010-08-18",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "CORALYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-734-3900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "M6940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808649500",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.