DR. CORIE LYNN SANDALL (NPI# 1013996180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013996180 |
| Entity Type | Individual |
| Full Name | DR. CORIE LYNN SANDALL |
| Credential | MD |
| Practice Address |
9230 Sky Island Dr E Bonney Lake WA 98391-7385 |
| Practice Telephone | 2537506000 |
| Practice Fax Number | 2537506100 |
| Mailing Telephone | 2537506000 |
| Mailing Fax Number | 2537506100 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2014-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00045674 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE L&I | 0210070 | 01 |
| Street Address |
9230 SKY ISLAND DR E |
| City | BONNEY LAKE |
| State | WA |
| Zip Code | 98391-7385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467950782 | Zachary Adam Sullivan | Physician Assistant | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2018-02-01 |
| 1649621806 | Archana Madhuri Rajan | Family Medicine | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2016-06-28 |
| 1083080956 | Megan Barker | Nurse Practitioner | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2015-08-14 |
| 1073998290 | Chi Franciscan Health System | Clinic/Center | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2015-07-29 |
| 1033407804 | Rachel Lee Criddle | Nurse Practitioner | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2011-07-14 |
| 1043506033 | Rabeea Rehman | Family Medicine | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2011-06-28 |
| 1487966107 | Marco Pocholo Rigor Valencia | Family Medicine | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2010-07-10 |
| 1760573232 | Cynthia Ann Hill-garner | Family Medicine | 9230 Sky Island Dr E, Bonney Lake, WA 98391 | 2006-09-27 |
| 1376500793 | Joan C Tsang | Pediatrics | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1992217152 | Rachel Renee Andringa | Massage Therapist | 19102 Wa-410, Bonney Lake, WA 98391 | 2017-10-27 |
| 1437679099 | Emily A. Hansen | Occupational Therapist | 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 | 2017-06-26 |
| 1245782986 | Advance Behavior Education Continuum, Inc | Behavioral Analyst | 2305 164th Ave Ct, Bonney Lake, WA 98391 | 2016-10-28 |
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1700141066 | Jacqueline Nguyen | Pharmacist | 20025 State Route 410 E, Bonney Lake, WA 98391 | 2012-07-11 |
| 1265737860 | Braden Shingleton | Massage Therapist | 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 | 2011-01-13 |
| Find all providers in zip 98391 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205891181 | Mythili R Ramachandran | Internal Medicine | 21509 Hwy 410 E, Suite 1, Bonney Lake, WA 98391 | 2006-04-20 |
| 1760844708 | Kamyar Vaziri | Internal Medicine | 9230 Sky Island Dr E Fl 2, Bonney Lake, WA 98391-7385 | 2016-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382224 | Heart Central of Washington | Internal Medicine | 1006 S 64th Ave Ste 110, Yakima, WA 98908-2090 | 2020-10-07 |
| 1265049829 | Robert I Hustrulid Md Pllc | Internal Medicine | 3807 S Sommer Rd, Veradale, WA 99037-9136 | 2020-09-28 |
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1740898766 | Abx Medical Pllc | Internal Medicine | 2523 Simon Ln Ne, Olympia, WA 98506-3553 | 2020-07-15 |
| 1225656614 | Sentinel Healthcare Corporation | Internal Medicine | 2220 76th Ave Se, Mercer Island, WA 98040-2114 | 2020-07-11 |
| 1730718628 | Brendan Eugene Raney | Internal Medicine | 202 N Borough Rd, Tacoma, WA 98403-2804 | 2020-04-03 |
| 1609404136 | Abigail Anne Cano Deleon | Internal Medicine | 4252 E Roosevelt Ave, Tacoma, WA 98404-4658 | 2020-03-30 |
| 1528691706 | Blue Med Inc. | Internal Medicine | 1222 N Sunset Dr, Tacoma, WA 98406-1027 | 2020-02-17 |
| 1194372896 | Dunia Health Clinic LLC | Internal Medicine | 11625 Rainier Ave S Ste 102, Seattle, WA 98178-3983 | 2019-08-19 |
| Find all providers with the same taxonomy | ||||
| City | BONNEY LAKE |
| Zip Code | 98391 |
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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.