Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699079046 Individual Practitioner Female Practitioner

Corenna Louise Waller

Specialist • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Corenna Waller is a registered healthcare professional specializing in Specialist in Fresno, CA. Practice services are available at 4411 E KINGS CANYON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4411 E Kings Canyon Rd
Bldg 319

Fresno, CA 937023604

Telephone 5594536227
Fax 5594528901
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.1 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
72 Specialists

Practicing in Fresno, CA (6446 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1356623276
Joseph Guberman

Counselor - Mental Health

NPI 1457655714
Valerie Francis , RN

Counselor - Addiction (Substance Use Disorder)

NPI 1457684227

Registered Nurse

NPI 1568744472
Lindsay Cho

Counselor - Addiction (Substance Use Disorder)

NPI 1649503343
Marian Krezanoski , ACSW

Social Worker - Clinical

NPI 1669603098

Academy of Certified Social Workers

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2010

Registered at 4411 E KINGS CANYON RD, BLDG 319, FRESNO, CA 937023604 (Tel: 5594536227)

📍
Updated Business Mailing Address December 28, 2010

Registered at 4411 E KINGS CANYON RD, BLDG 319, FRESNO, CA 937023604 (Tel: 5594536227)

👤
Provider Name / Credentials Updated December 28, 2010

Recorded as CORENNA WALLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2010

Specialist

🟢
Initial NPI Registration & Enumeration December 28, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699079046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2010
Last Update: December 28, 2010
Sole Proprietor: No

Mailing Address

4411 E Kings Canyon Rd, Bldg 319

Fresno, CA 937023604

Phone: 5594536227

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.