Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Korfiatis, FNP-BC

Individual provider Registered Nurse · NPI 1417373770

Carolyn Korfiatis, FNP-BC is a Nurse Practitioner in Mammoth Lakes, California. Qualified in 2015, 11 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
11
Licensed in
CA, NY
In the registry since
2014
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone: (509) 205-1503
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95002589 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 672701-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 95036715 (CA)

Record details

NPI number1417373770
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMarch 11, 2014
Last updated in NPPESJune 30, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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