CORALYN J ALEXANDER MD PA (NPI# 1013191915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013191915 |
| Entity Type | Organization |
| Organization Name | CORALYN J ALEXANDER MD PA |
| Practice Address |
488 Blue Lakes Blvd N Ste 102 Twin Falls ID 83301-4800 |
| Mailing Address |
Po Box 2103 Twin Falls ID 83303-2103 |
| Practice Telephone | 2087343900 |
| Practice Fax Number | 2087349441 |
| Mailing Telephone | 2087343900 |
| Mailing Fax Number | 2087349441 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2010-08-23 |
| Authorized Official Name | CORALYN ALEXANDER (OWNER) |
| Authorized Official Telephone | 2087343900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
M6940 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NP662 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807607000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922282821 | Coralyn J Alexander Md Pa | Clinic/Center | 488 Blue Lakes Blvd N, Ste 102, Twin Falls, ID 83301-4800 | 2007-12-27 |
| Street Address |
488 BLUE LAKES BLVD N STE 102 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841354495 | Geoffroi Andre Golay | Chiropractor | 488 Blue Lakes Blvd N, Suite 107, Twin Falls, ID 83301-5236 | 2006-12-20 |
| 1861718561 | Coralyn Alexander Md Pa | Clinic/Center | 488 Blue Lakes Blvd N, Ste 102, Twin Falls, ID 83301-4800 | 2010-04-20 |
| 1811135635 | Geoffroi A. Golay, D.c., Pllc | Chiropractor | 488 Blue Lakes Blvd N, Suite 107, Twin Falls, ID 83301-4800 | 2009-02-02 |
| 1922282821 | Coralyn J Alexander Md Pa | Clinic/Center | 488 Blue Lakes Blvd N, Ste 102, Twin Falls, ID 83301-4800 | 2007-12-27 |
| 1215147582 | Amy A Prestin | Social Worker | 488 Blue Lakes Blvd N, Suite 102, Twin Falls, ID 83301-4800 | 2007-05-23 |
| 1962556787 | Coralyn Alexander Md Pa | Counselor | 488 Blue Lakes Blvd N, Ste 102, Twin Falls, ID 83301-4800 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215444856 | Donna Krapf | Nurse Practitioner | 1363 Fillmore St, Twin Falls, ID 83301-3392 | 2018-01-04 |
| 1447649975 | Shelley S Wray | Nurse Practitioner | 1363 Fillmore St, Twin Falls, ID 83301-3392 | 2015-01-21 |
| 1154723120 | Jeremiah W Neibling | Nurse Practitioner | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2014-09-22 |
| 1467755769 | Mary Jane Hulsey | Nurse Practitioner | 823 Harrison St, Twin Falls, ID 83301-3925 | 2010-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857952 | Lidia Timofeenko Petersen | Nurse Practitioner | 775 Wayne Ave, Pocatello, ID 83201-3718 | 2020-06-29 |
| 1790302594 | Dumu Psychiatry LLC | Nurse Practitioner | 9428 W Fairview Ave, Boise, ID 83704-8101 | 2020-06-29 |
| 1861024689 | Jessica Erin Bringman | Nurse Practitioner | 3624 23rd St, Lewiston, ID 83501-6121 | 2020-02-10 |
| 1528610532 | Shawn Warren | Nurse Practitioner | 755 Lomax St, Idaho Falls, ID 83401-2786 | 2019-07-10 |
| 1760950604 | Scott A Watkins | Nurse Practitioner | 2836 Cougar Ave, Nampa, ID 83687-9107 | 2018-11-08 |
| 1104309657 | Brigitta Panther | Nurse Practitioner | 418 W Reese St, Boise, ID 83706-6233 | 2018-09-11 |
| 1659870178 | Mark Mcgrath | Nurse Practitioner | 1309 Ponderosa Dr Ste 103, Sandpoint, ID 83864-8278 | 2018-02-10 |
| 1467855403 | Clint Emmett | Nurse Practitioner | 875 Perimeter Dr # Ms 3140, Moscow, ID 83844-2006 | 2014-10-06 |
| 1639507551 | Jason Martin | Nurse Practitioner | 13734 S 1st E, Idaho Falls, ID 83404-7852 | 2013-10-31 |
| 1881027241 | Colleen R Fleming | Nurse Practitioner | 2025 W Park Place, Ste B, Coeur D Alene, ID 83814-2785 | 2013-08-20 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on CORALYN J ALEXANDER MD PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.