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TIMOTHY WAYNE CORK CPRP, BS
NPI 1174000566
Specialist in Coeur D Alene, ID

Active since July 27, 2018
2201 IRONWOOD PL, COEUR D ALENE, ID 83814(208) 769-4222(208) 771-0628 Get Directions Write a Review

NPPES record last updated: July 27, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Wayne Cork Cprp, Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY WAYNE CORK CPRP, BS (NPI 1174000566) is an individual specialist in Coeur D Alene, Idaho and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1174000566
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameTIMOTHY WAYNE CORKCredential: CPRP, BS
Location Address2201 IRONWOOD PLCoeur D Alene, ID 83814-2670
Mailing Address2201 Ironwood PlCoeur D Alene, ID 83814-2670 · (208) 769-4222 · Fax (208) 771-0628
Phone(208) 769-4222
Fax(208) 771-0628
Sole ProprietorNo
Enumeration DateJuly 27, 2018
✔ NPI 1174000566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2201 IRONWOOD PL, Coeur D Alene, ID 83814
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JODI SMITH
Counselor (Professional)
2201 IRONWOOD PL
COEUR D ALENE, ID 83814
Kootenai County (208) 769-4222
SALLY JO FISCHER
Peer Specialist
2201 IRONWOOD PL
COEUR D ALENE, ID 83814
Kootenai County (208) 769-4222
GORDON BRUCE CUTHBERT
Peer Specialist
2201 IRONWOOD PL
COEUR D ALENE, ID 83814
Kootenai County (208) 769-4222
CHRISTOPHER ANDREW GARRETT LCSW
Social Worker (Clinical)
2201 IRONWOOD PL, SUITE 100
COEUR D ALENE, ID 83814
Kootenai County (208) 769-4222
REBEKAH FORSTER-CASEY LSW
Social Worker
2201 IRONWOOD PL
COEUR D ALENE, ID 83814
Kootenai County (208) 769-4222
PATRICIA REICHERT BS
Case Manager/Care Coordinator
2201 IRONWOOD PL
COEUR D ALENE, ID 83814
Kootenai County (208) 769-4222
MS. SARAH JEAN BJORN LCSW
Social Worker (Clinical)
2201 IRONWOOD PL
COEUR D ALENE, ID 83814
Kootenai County (208) 769-4222
TINA MARIE ROZNIEWSKI CPSS
Peer Specialist
2201 IRONWOOD PL
COEUR D ALENE, ID 83814
Kootenai County (208) 769-4222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Cork's NPI number?

The NPI number for Timothy Cork is 1174000566. It was assigned to this individual provider in the NPPES registry on July 27, 2018.

Where is Timothy Cork located?

Timothy Cork practices at 2201 Ironwood Pl, Coeur D Alene, ID 83814. The listed phone number is (208) 769-4222.

What is Timothy Cork's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Timothy Cork was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.