Holly Renee Cordero

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

364500 Issued in WA

Practice address

13224 E Tall Tree Rd
Spokane Valley, WA 99216-2411

Phone

(509) 924-1506

NPI assigned

Apr 23, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1992149777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13224 E TALL TREE RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162411",
            "telephone_number": "509-924-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13224 E TALL TREE RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162411",
            "telephone_number": "509-924-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "HOLLY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WA",
            "license": "364500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysha Brooke Cooper
• Thomas Bryant Cooper
• Kimberly Coppa
• Maiya Copple
• Christa A Copus
• Holly C Corigliano
• Cornerstone Physiatry, PLLC
• Eric Corona
• Marisa Corona
• Donald Edward Corson

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.