KATHLEEN FAGERLAND (NPI# 1124214788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124214788 |
| Entity Type | Individual |
| Full Name | KATHLEEN FAGERLAND |
| Credential | CNM |
| Practice Address |
200 2nd Ave N Twin Falls ID 83301-6158 |
| Mailing Address |
3668 N Harbor Ln Boise ID 83703-6914 |
| Practice Telephone | 2087349955 |
| Practice Fax Number | 2087349966 |
| Mailing Telephone | 2083769300 |
| Mailing Fax Number | 2083769444 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
CNM-41A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 2ND AVE N |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-6158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902340987 | Ann Malloy Vance | Physician Assistant | 200 2nd Ave N, Twin Falls, ID 83301-6158 | 2016-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 364SW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205143120 | Women's Wellness & Aesthetics | Clinical Nurse Specialist | 6650 W Emerald St, Boise, ID 83704-8738 | 2010-09-13 |
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on KATHLEEN FAGERLAND.
| 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.