VICKI NICKOLE CASSESEKA (NPI# 1083990972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083990972 |
| Entity Type | Individual |
| Full Name | VICKI NICKOLE CASSESEKA |
| Practice Address |
107 H. Street East Poplar MT 59255-0067 |
| Mailing Address |
107 H. Street Poplar MT 59255-0067 |
| Practice Telephone | 4067682172 |
| Practice Fax Number | 4067683435 |
| Mailing Telephone | 4067682172 |
| Mailing Fax Number | 4067683435 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 9990118 | 05 |
| Street Address |
107 H. STREET EAST |
| City | POPLAR |
| State | MT |
| Zip Code | 59255-0067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669656641 | Frederick N Hamly | Internal Medicine | 107 H. Street East, Poplar, MT 59255 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200178 | Christine Bauer | Dietitian, Registered | 417 13th Avenue East, Poplar, MT 59255 | 2018-10-08 |
| 1871009548 | Chandice Yvonne Covington | Nurse Practitioner | 415 13th Ave East, Poplar, MT 59255 | 2017-12-18 |
| 1750821336 | Esther Escarcega | Counselor | 603 1/2 Court Ave, Poplar, MT 59255 | 2017-03-02 |
| 1053858001 | Madonna Mcconnell | Counselor | 603 1/2 Court Avenue, Poplar, MT 59255 | 2017-01-30 |
| 1003353186 | Eloise Youngman | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-26 |
| 1982150686 | George Blount IIi | Counselor | 309 13thave., Poplar, MT 59255 | 2016-09-01 |
| 1366898181 | Rachel Hawker | Respiratory Therapist, Registered | 417 East 13th, Poplar, MT 59255 | 2016-05-11 |
| 1144623133 | Jennifer Tolman | Dental Hygienist | 417 13th Ave E, Poplar, MT 59255 | 2014-10-03 |
| 1346654167 | Wally Jean | General Practice | 107 H St W, Poplar, MT 59255 | 2014-06-19 |
| 1396159240 | Pierrette Toussaint | General Practice | 107 H. Street, Verne E. Gibbs Clinic, Poplar, MT 59255 | 2014-06-19 |
| Find all providers in zip 59255 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588007959 | Mark Wray Korman | Spec/Tech, Pathology | 107 H Street East, Poplar, MT 59255-0067 | 2013-04-16 |
| 1255663977 | Lila E Kukowski | Spec/Tech, Pathology | 107 H Street, Poplar, MT 59255 | 2010-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841546520 | Susan Carole Porter | Spec/Tech, Pathology | 550 Sixth Av N, Wolf Point, MT 59201-0729 | 2012-07-31 |
| 1154644888 | Dawn M Nagle | Spec/Tech, Pathology | 550 6th Ave. North, Wolf Point, MT 59201 | 2010-03-09 |
| 1205038494 | Janet L Jansen | Spec/Tech, Pathology | 456 Groventre Ave, Harlem, MT 59526 | 2007-06-01 |
| 1639382682 | Krista O Wills | Spec/Tech, Pathology | Curry Health Center - University of Montana, 643 Eddy Ave, Missoula, MT 59812 | 2007-05-07 |
| 1104047257 | Reynaldo Almadin Jornacion | Spec/Tech, Pathology | Rr1 Box 67, Harlem, MT 59526 | 2007-05-02 |
| 1538380175 | Bonna M Graham-hall | Spec/Tech, Pathology | 634 Eddy Ave., Missoula, MT 59812-6624 | 2007-05-01 |
| 1922631357 | Jason Willhardt | Spec/Tech, Pathology | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-02-13 |
| 1871084368 | Rebecca Suzanne Dayton | Spec/Tech, Pathology | 550 6th Ave N, Wolf Point, MT 59201-6000 | 2018-05-21 |
| 1699136416 | Myrna Kampen | Spec/Tech, Pathology | 2900 4th Ave N, Billings, MT 59101-1266 | 2016-03-08 |
| 1346601069 | Marcia Hafera | Spec/Tech, Pathology | 2900 4th Ave N, Billings, MT 59101-1266 | 2016-03-08 |
| Find all providers with the same taxonomy | ||||
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| 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.