MS. CORIANDER KATHRYN HERIDIA NP NPI 1598748345

NPI Information

NPI: 1598748345
Provider Name: MS. CORIANDER KATHRYN HERIDIA, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
12844 MILITARY RD S
TUKWILA, WA
ZIP 98168
Phone: (253) 324-5005
Get Directions

MS. Coriander Kathryn Heridia, NP is a family nurse practitioner in Tukwila, WA. MS. Coriander Kathryn Heridia, NP NPI is 1598748345. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12844 MILITARY RD S
TUKWILA, WA
ZIP 98168-045
Phone: (253) 324-5005

The enumeration date for this NPI number is 11/25/2005 and was last updated on 3/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	ARNP9208153	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	9208153	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	ARNP.AP.60265319-NP	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BO999X	MEDICARE PIN	FLORIDA
2	Y00KX	OTHER	FLORIDA	BCBS
3	001157200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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