KRISTINA M KNIFFEN (NPI# 1225369820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225369820 |
| Entity Type | Individual |
| Full Name | KRISTINA M KNIFFEN |
| Credential | PN-14938 |
| Practice Address |
717 Mission Rd Fort Hall ID 83203-0306 |
| Mailing Address |
717 Mission Rd Po Box 306 Fort Hall ID 83203-0306 |
| Practice Telephone | 2082382400 |
| Practice Fax Number | 2082385462 |
| Mailing Telephone | 2082382400 |
| Mailing Fax Number | 2082385462 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN-14938 | ID | Nursing Service Providers |
| Street Address |
717 MISSION RD |
| City | FORT HALL |
| State | ID |
| Zip Code | 83203-0306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508920869 | Richard Lee Mittelstedt | Registered Nurse | 717 Mission Rd, Fort Hall, ID 83203-0717 | 2006-12-21 |
| 1568920080 | Wiley Drew Petersen | Family Medicine | 717 Mission Rd, Fort Hall, ID 83203 | 2019-03-04 |
| 1043541543 | Drew Harold Burrell | Behavioral Analyst | 717 Mission Rd, 306, Fort Hall, ID 83203-0306 | 2010-01-22 |
| 1700115995 | Stephanie Moss | Registered Nurse | 717 Mission Rd, Fort Hall, ID 83203-0717 | 2009-12-17 |
| 1285876938 | Garth S Brown | Registered Nurse | 717 Mission Rd, Fort Hall, ID 83203-0306 | 2009-03-26 |
| 1689816563 | Brandy Pugmire | Licensed Practical Nurse | 717 Mission Rd, Fort Hall, ID 83203-0717 | 2009-03-24 |
| 1457598575 | Joanne Fletcher | Registered Nurse | 717 Mission Rd, Fort Hall, ID 83203-0306 | 2009-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154765238 | Chief Tahgee Elementary Academy, Inc. | Local Education Agency (LEA) | 38 South Hiline Road, Fort Hall, ID 83203 | 2013-04-19 |
| 1730304171 | Shari L. Newsome | Social Worker | Mission Road Building 248, Fort Hall Indian Agency, Fort Hall, ID 83203 | 2007-04-13 |
| 1780808899 | Scotti L Brownley | Counselor | Mission Road Bldg 248, Fort Hall Indian Agency, Fort Hall, ID 83203 | 2007-04-12 |
| 1932323045 | Kristy Lee Broncho | Social Worker | Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, ID 83203 | 2007-04-12 |
| 1972632834 | Not-tsoo Gah-nee Indian Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Route 6 Mission Rd, Fort Hall, ID 83203 | 2007-03-05 |
| 1346259355 | Holly J Mcgrath | Pharmacist | Mission Rd, Box 717, Fort Hall, ID 83203 | 2006-08-07 |
| 1073518163 | Thomas John Troshynski | Pharmacist | 1 Mission Road, Fort Hall, ID 83203 | 2005-06-16 |
| 1497262216 | Cameron Jo Marshall | Pharmacist | Mission Road, Fort Hall, ID 83203 | 2018-01-02 |
| 1225570716 | Shoshone-bannock Community Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Navajo Drive Bldg 70, Fort Hall, ID 83203 | 2016-11-15 |
| 1366847428 | Daniel Jerome Hall | Social Worker | 717 Mission Road, Fort Hall, ID 83203 | 2014-10-30 |
| Find all providers in zip 83203 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073768669 | Angela L Clarke | Licensed Practical Nurse | Pima Drive, Fort Hall, ID 83203-0306 | 2008-11-24 |
| 1689816563 | Brandy Pugmire | Licensed Practical Nurse | 717 Mission Rd, Fort Hall, ID 83203-0717 | 2009-03-24 |
| 1669519948 | Valarie Ann Kaser | Licensed Practical Nurse | Mission Rd, Fort Hall, ID 83202 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267266 | Mary Laree Kenworthy | Licensed Practical Nurse | 500 W Fort St Bldg 88, Boise, ID 83702-4598 | 2020-08-31 |
| 1457974669 | Marcey Louise Waugh | Licensed Practical Nurse | 500 W Fort St Bldg 124, Boise, ID 83702-4501 | 2020-05-21 |
| 1740801364 | Xochitl Hodgson | Licensed Practical Nurse | 28 Creekside Ln, Hope, ID 83836-9641 | 2020-05-05 |
| 1841712049 | Caitlinn Kuuipo Tanaka | Licensed Practical Nurse | 4835 Trent St, Chubbuck, ID 83202-2955 | 2017-07-10 |
| 1992154538 | Carolyn Blasch | Licensed Practical Nurse | 3912 Sage Creek Dr, Boise, ID 83714-5502 | 2016-06-05 |
| 1841671716 | Victoria Hamrick | Licensed Practical Nurse | 64 N Elijah Dr, Nampa, ID 83651-2209 | 2015-06-16 |
| 1679951545 | Steven Miranda | Licensed Practical Nurse | 1471 Mountain View Ln Apt 4, Idaho Falls, ID 83402-1861 | 2015-05-12 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| 1952700478 | Tiana Hernandez | Licensed Practical Nurse | 86 S Rolling Green St, Nampa, ID 83687-8921 | 2014-08-20 |
| 1326464991 | Michael Deschene Jr. | Licensed Practical Nurse | 641 E Wild Lilac St, Kuna, ID 83634-2388 | 2014-03-06 |
| 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.