Provider Demographics
NPI:1740209352
Name:KORKOWSKI, SARAH A (ARNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:KORKOWSKI
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:A
Other - Last Name:MARTENSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:CSB 240
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-2394
Mailing Address - Fax:206-987-7126
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:CSB 240
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-2394
Practice Address - Fax:206-987-7126
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00148675163W00000X
WAAP30006489163WP0200X, 363L00000X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0204981OtherLABOR & INDUSTRY
WA94119UOtherREGENCE BLUESHIELD
WA9637133Medicaid
P92960Medicare UPIN
WA9637133Medicaid
WAG8878728Medicare PIN