CORALYN J ALEXANDER (NPI# 1194713487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194713487 |
| Entity Type | Individual |
| Full Name | CORALYN J ALEXANDER |
| Credential | MD, PA |
| Practice Address |
2199 W Ironwood Center Dr Coeur D Alene ID 83814-2639 |
| Mailing Address |
2003 Kootenai Health Way Coeur D Alene ID 83814-6051 |
| Practice Telephone | 2086254888 |
| Practice Fax Number | 2086255734 |
| Mailing Telephone | 2086254000 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
M6940 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 804004500 | 05 | |
| ID | BLUECROSS | DE757 | 01 |
| ID | BLUESHIELD | 10001359 | 01 |
| Street Address |
2199 W IRONWOOD CENTER DR |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619318276 | Robin Amanda Secrist | Nurse Practitioner | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2013-07-11 |
| 1336451947 | Laura Christine Adams | Nurse Practitioner | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2010-07-12 |
| 1093940074 | Justin Paul Garrett | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2009-05-20 |
| 1609915644 | John Spencer Helsell | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814 | 2007-02-06 |
| 1184790677 | Emily Maria Hart | Counselor | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-11-27 |
| 1477629996 | William H Miller Jr. | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-11-27 |
| 1487724407 | North Idaho Mental Health Assoc | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-11-08 |
| 1356454359 | Lauren A Boydston | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-08-16 |
| 1689689085 | Tanya Heidenreich | Nurse Practitioner | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-07-31 |
| 1548209935 | Eric J Heidenreich | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356500649 | Eagle Crest Life Services Inc | Psychiatry & Neurology | 212 S 11th St Ste 3, Coeur D Alene, ID 83814-4000 | 2008-06-03 |
| 1467528984 | Bruce K Miewald | Psychiatry & Neurology | 2199 Ironwood Center Drive, Coeur D Alene, ID 83814 | 2006-11-27 |
| 1881788149 | George Jackson Ullrich | Psychiatry & Neurology | 1115 Ironwood Drive, Coeur D Alene, ID 83814 | 2006-10-03 |
| 1730196056 | Nicole L Carlberg | Psychiatry & Neurology | 2426 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814-4961 | 2006-08-01 |
| 1891140620 | Neil Dilip Patel | Psychiatry & Neurology | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2016-04-29 |
| 1760893945 | Resilience Psychiatric Medicine | Psychiatry & Neurology | 2426 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814-4961 | 2014-05-09 |
| 1144664848 | John Michael Thurston | Psychiatry & Neurology | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2013-04-24 |
| 1265750707 | Jennifer Rhodes | Psychiatry & Neurology | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2010-05-07 |
| 1124258645 | Jaya Praveen Kumar Penagaluri | Psychiatry & Neurology | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2009-07-17 |
| 1093940074 | Justin Paul Garrett | Psychiatry & Neurology | 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2009-05-20 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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| 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.