KRISTA TICKEMYER


Address: 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814
Phone: 2086254595

KRISTA TICKEMYER (NPI# 1114393618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114393618
Entity Type Individual
Full Name KRISTA TICKEMYER
Credential FNP
Practice Address 1919 Lincoln Way Ste 415
Coeur D Alene
ID 83814
Mailing Address 2003 Kootenai Health Way
Coeur D Alene
ID 83814-6051
Practice Telephone 2086254595
Practice Fax Number 2086254596
Mailing Telephone 2086255059
Mailing Fax Number 2086255731
Enumeration Date 2015-08-19
Last Update Date 2020-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse N-35924 ID Nursing Service Providers
Y 363L00000X Nurse Practitioner N-40239 ID Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
NP-1596A ID Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1090 W. Park Place, Coeur D'alene, ID 83814 2082920292 2082920705

Office Location

Street Address 1919 LINCOLN WAY STE 415
City COEUR D ALENE
State ID
Zip Code 83814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326271032 Ellee S Reichert Nurse Practitioner 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 2009-08-27
1851869200 Britni Turkenburg Physician Assistant 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814 2018-11-04
1245665660 Matthew Lute Internal Medicine 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 2013-09-04
1487940714 Justin Cochrane Internal Medicine 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814 2011-06-24
1124312376 David Henrik Johnson Internal Medicine 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 2011-06-06
1528351954 Christopher Michael Wood Internal Medicine 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 2011-05-18

Providers in the same zip code

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 Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114438033 Meghan Gregg Nurse Practitioner 1919 Lincoln Way Ste 211, Coeur D Alene, ID 83814-2527 2017-10-18
1295283810 Family Practice By The Lake Nurse Practitioner 1875 N Lakewood Dr Ste 205, Coeur D Alene, ID 83814-4928 2016-09-12
1568887503 Amber Hanson Nurse Practitioner 7600 N Mineral Dr Ste 450, Coeur D Alene, ID 83815-7709 2014-02-27
1447536685 Tara Teresa Flores Nurse Practitioner 2177 W Ironwood Center Dr, Coeur D Alene, ID 83814 2011-11-02
1669779955 Annette L Asper Nurse Practitioner 1233 N Northwood Center Ct, Coeur D Alene, ID 83814 2011-02-22
1326271032 Ellee S Reichert Nurse Practitioner 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 2009-08-27
1922218437 Susan K Trenkle Nurse Practitioner 2251 W Ironwood Center Dr, Coeur D Alene, ID 83814-2665 2007-05-23
1063454981 Jennifer Fletcher Nurse Practitioner 919 W Canfield Ave, Coeur D Alene, ID 83815-9764 2006-06-12
1740233345 Margaret A Wasserman Nurse Practitioner 2022 Government Way, Coeur D Alene, ID 83814 2006-05-18
1598720989 Laurie Foutty Nurse Practitioner 700 W Ironwood Dr Ste 120e, Coeur D Alene, ID 83814-7008 2006-04-19
Find all providers in COEUR D ALENE

Competitor

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City COEUR D ALENE
Zip Code 83814

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Dataset Information

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.

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