CORAL J CATES (NPI# 1619013000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619013000 |
| Entity Type | Individual |
| Full Name | CORAL J CATES |
| Credential | ARNP |
| Practice Address |
2120 Exchange St Ste 301 Astoria OR 97103-3364 |
| Practice Telephone | 5033250241 |
| Practice Fax Number | 5038612043 |
| Mailing Telephone | 5033250241 |
| Mailing Fax Number | 5038612043 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP30003634 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30003634 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEA NUMBER | MC0570069 | 01 |
| WA | STATE LICENCE | AP30003634 | 01 |
| WA | 9631631 | 05 | |
| OR | OR LICENSE | 201406323CNS-PP | 01 |
| Street Address |
2120 EXCHANGE ST STE 301 |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467546697 | Timothy Scott Holt | Nurse Practitioner | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2006-10-03 |
| 1376169581 | Gabriella Solita Marincovich-mallares | Peer Specialist | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2020-06-23 |
| 1639717804 | Shana Lorraine Verley | Case Manager/Care Coordinator | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2019-12-18 |
| 1912560129 | Stephanie Magdeline Renzulli | Case Manager/Care Coordinator | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2019-04-15 |
| 1982188991 | Victoria L Porter | Counselor | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2018-09-17 |
| 1134634868 | Greta Gard | Counselor | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2017-12-04 |
| 1427591502 | Alisha Luck | Case Manager/Care Coordinator | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2016-11-22 |
| 1659820504 | Lewis Detwiler | Counselor | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2016-10-03 |
| 1215484308 | Donald Low | Counselor | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2016-09-06 |
| 1235686312 | Kimberly Ortiz | Counselor | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| 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 |
|---|---|---|---|---|
| 1154741551 | Latifat Okeke | Nurse Practitioner | 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 | 2014-04-24 |
| 1912146911 | Cycles of Transition, LLC | Nurse Practitioner | 10 Pier 1 Ste 206, Astoria, OR 97103-6328 | 2009-02-13 |
| 1669663688 | June S. Longway, Pmhnp, Bc, LLC | Nurse Practitioner | 10 Pier 1, Suite 202, Astoria, OR 97103-6300 | 2007-08-06 |
| 1386725497 | Debora Anne Stout | Nurse Practitioner | 818 Commercial St, Suite 400, Astoria, OR 97103 | 2006-10-17 |
| 1467546697 | Timothy Scott Holt | Nurse Practitioner | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2006-10-03 |
| 1467454942 | Michael Joseph Wisher | Nurse Practitioner | 2554 Steinway St, Astoria, NY 11103-3702 | 2005-08-13 |
| 1700274305 | James Patrick Cassar | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-01-05 |
| 1477973519 | Christine Edmondson | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-04-16 |
| 1932449279 | Sandra Marie Tobik | Nurse Practitioner | 2308 30th Ave, 2nd Floor, Astoria, NY 11102-3494 | 2013-02-24 |
| 1518245885 | Carol-ann Cenac | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2011-08-03 |
| Find all providers in ASTORIA | ||||
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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.