DNA WITH TINA LLC (NPI# 1306105598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306105598 |
| Entity Type | Organization |
| Organization Name | DNA WITH TINA LLC |
| Practice Address |
1951 Bench Rd Pocatello ID 83201-2073 |
| Practice Telephone | 2082404785 |
| Mailing Telephone | 2082404785 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | CHRISTINE FUHRMAN MLADENKA (OWNER) |
| Authorized Official Telephone | 2082404785 |
| Authorized Official Credential | WHNP-BC, DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1951 BENCH RD |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690863 | William G Sabel | Nurse Practitioner | 1951 Bench Rd, Suite B, Pocatello, ID 83201-2073 | 2005-09-26 |
| 1528414513 | Mandy Smith | Physical Therapy Assistant | 1951 Bench Rd, Suite E, Pocatello, ID 83201-2013 | 2016-05-09 |
| 1184083818 | Nicolette Hampton | Nurse Practitioner | 1951 Bench Rd, Ste B, Pocatello, ID 83201-2013 | 2016-02-23 |
| 1164717419 | Zachary Bryant Warnock | Family Medicine | 1951 Bench Rd, Suite B, Pocatello, ID 83201-2013 | 2011-06-15 |
| 1548581390 | John Abraham Fenstermaker | Family Medicine | 1951 Bench Rd, Suite B, Pocatello, ID 83201-2013 | 2010-06-16 |
| 1922236454 | Blaine Olsen | Family Medicine | 1951 Bench Rd, Ste B, Pocatello, ID 83201-2073 | 2009-06-23 |
| 1730340365 | Travis Dale Nielsen | Family Medicine | 1951 Bench Rd, Suite B, Pocatello, ID 83201-2073 | 2008-06-17 |
| 1619095734 | Gate City Physical Therapy | Physical Therapist | 1951 Bench Rd, Suite E, Pocatello, ID 83201-2073 | 2007-03-27 |
| 1477625283 | Highland Physical Therapy LLC | Specialist | 1951 Bench Rd, Suite E, Pocatello, ID 83201 | 2006-11-15 |
| 1861500613 | Kris M Walker | Family Medicine | 1951 Bench Rd, Suite B, Pocatello, ID 83201-2073 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740346527 | Christine Fuhrman Mladenka | Nurse Practitioner | 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 | 2006-12-28 |
| 1194736090 | Barbara Roberts | Nurse Practitioner | 500 S 11th Ave, Suite 4g, Pocatello, ID 83201-4835 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356678106 | Clea K. Mefford | Nurse Practitioner | 1408 Pomerelle Ave # H, Burley, ID 83318-2064 | 2009-11-13 |
| 1477714285 | Kara Kelly Hill | Nurse Practitioner | 111 Main St Ste 100, Boise, ID 83702-7307 | 2008-06-24 |
| 1265617849 | Selkirk Family Medicine & Womens Health Pllc | Nurse Practitioner | 1215 Michigan St Ste C, Sandpoint, ID 83864-5014 | 2008-01-02 |
| 1538238506 | Pamela Jan Tilaro | Nurse Practitioner | 8500 N. Atlas Rd, Hayden, ID 83835-8332 | 2006-11-06 |
| 1922197946 | Cynthia W Dalsing | Nurse Practitioner | 1215 Michigan St, Suite C, Sandpoint, ID 83864-5014 | 2006-10-11 |
| 1144325572 | Annie C Fife | Nurse Practitioner | 500 W. Fort St, Boise, ID 83702 | 2006-09-13 |
| 1679688030 | Healing Arts Women's Clinic, Pa | Nurse Practitioner | 222 W Iowa Ave Ste 225, Nampa, ID 83686-6815 | 2006-08-19 |
| 1508886425 | Mary Gerard Battaglia | Nurse Practitioner | 1112 Ironwood Dr, Coeur D Alene, ID 83814 | 2006-07-21 |
| 1013936541 | Susan P Stutzman | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-18 |
| 1871560995 | Mary R Fiedler | Nurse Practitioner | 1020 Michigan St, Sandpoint, ID 83864-1788 | 2006-03-07 |
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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.