MS. JANA M QUALLS (NPI# 1083670889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083670889 |
| Entity Type | Individual |
| Full Name | MS. JANA M QUALLS |
| Credential | FNP |
| Practice Address |
1090 W Park Pl Coeur D Alene ID 83814-2785 |
| Practice Telephone | 2082920641 |
| Practice Fax Number | 2086676547 |
| Mailing Telephone | 2082920641 |
| Mailing Fax Number | 2086676547 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
7267 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-1631A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1090 W PARK PL |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837685 | Amanda Ament | Dietitian, Registered | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2020-06-30 |
| 1386284958 | Rachel Jones | Counselor | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2020-01-13 |
| 1437715208 | Kristy Handyside | Nurse Practitioner | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2019-05-16 |
| 1144787540 | Laboratory Corporation of America | Clinical Medical Laboratory | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2019-02-22 |
| 1114481140 | Laura J. Haney | Nurse Practitioner | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2019-01-23 |
| 1548736960 | Melanie Jane Moss | Physician Assistant | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2018-10-23 |
| 1467936039 | Laura Bonneville | Counselor | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2018-09-19 |
| 1720564271 | Dirne Health Centers Inc | Counselor | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2018-07-18 |
| 1679003990 | Melinda Janet Soltys | Social Worker | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2017-06-19 |
| 1245760313 | Kristopher Aaron Arnold | Counselor | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2017-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790186799 | Christopher Sickel | Nurse Practitioner | 1075 N Curtis Rd, Suite 200, Boise, ID 83706-1300 | 2014-09-09 |
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on MS. JANA M QUALLS.
| 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.