KRISTIN FEDORCHAK (NPI# 1306386982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306386982 |
| Entity Type | Individual |
| Full Name | KRISTIN FEDORCHAK |
| Practice Address |
45 Stiles Rd #101 Salem NH 03079-4808 |
| Practice Telephone | 6038984269 |
| Mailing Telephone | 6038984269 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
040987-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | NH APRN LICENSE | 040987-23 | 01 |
| Street Address |
45 STILES RD #101 |
| City | SALEM |
| State | NH |
| Zip Code | 03079-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871551705 | William H Edwards | Obstetrics & Gynecology | 45 Stiles Rd, Suite 101, Salem, NH 03079-4808 | 2006-05-02 |
| 1164840104 | Stephen T. Maroon | Chiropractor | 45 Stiles Rd, Ste 104, Salem, NH 03079-2850 | 2014-04-06 |
| 1063540383 | Kenneth Michael Gabriel | Chiropractor | 45 Stiles Rd, Suite 104, Salem, NH 03079-4808 | 2007-02-28 |
| 1710036348 | William H. Edwards M.d. PC | Obstetrics & Gynecology | 45 Stiles Rd, Suite 101, Salem, NH 03079-4808 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| 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 |
|---|---|---|---|---|
| 1831420017 | Tamara Jean Wilson | Nurse Practitioner | 890 Oak St Se Ste 5050, Salem, OR 97301-3905 | 2010-01-27 |
| 1760415202 | Salem Womens Clinic, Inc | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2006-07-08 |
| 1699764001 | Lucinda Ann Angyal | Nurse Practitioner | 1305 Cannon St Se, Salem, OR 97302-2548 | 2005-10-18 |
| 1679038194 | Glynis Anne Flanigan | Nurse Practitioner | 3825 Wolverine St Ne, Salem, OR 97305-1201 | 2019-02-08 |
| 1972908838 | Korinne Foster | Nurse Practitioner | 238 E Broadway, Salem, NJ 08079-1108 | 2014-11-04 |
| 1801056981 | Kristen Greiten Jamsa | Nurse Practitioner | 1535 State St, Salem, OR 97301-4255 | 2008-06-12 |
| 1194911032 | Donna Jean Niemela | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2007-09-24 |
| 1699829408 | Roberta Helen Van Dyke | Nurse Practitioner | 3180 Center St Ne, Salem, OR 97301-4532 | 2007-01-22 |
| 1013061654 | Patricia Lynn Eich | Nurse Practitioner | 3180 Center St Ne, Salem, OR 97301-4532 | 2007-01-22 |
| 1770666430 | Lacinda R Campbell | Nurse Practitioner | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2006-10-24 |
| Find all providers in SALEM | ||||
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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.