KRISTI IBARRA (NPI# 1316304652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316304652 |
Entity Type | Individual |
Full Name | KRISTI IBARRA |
Credential | FNP |
Practice Address |
25647 Redwood Hwy Cave Junction OR 97523 |
Mailing Address |
1701 Nw Hawthorne Ave Grants Pass OR 97526-1051 |
Practice Telephone | 5415924111 |
Mailing Telephone | 5415924111 |
Enumeration Date | 2016-01-18 |
Last Update Date | 2019-04-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 98211 | OK | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201603482NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0116331 | OK | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
25647 REDWOOD HWY |
City | CAVE JUNCTION |
State | OR |
Zip Code | 97523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972506202 | Susan E. Berg | Clinical Nurse Specialist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2005-05-31 |
1427404094 | Siskiyou Community Health Center Pharmacy | Pharmacy | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2016-05-12 |
1396141255 | Siskiyou Community Health Center Pharmacy | Pharmacy | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2014-11-05 |
1023362894 | Barbara Jo Franklin | Nurse Practitioner | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2012-11-01 |
1972896389 | Natalie Laubscher | Pharmacist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2011-05-18 |
1992098362 | Brian Sydney Laubscher | Pharmacist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2011-05-18 |
1275852212 | Larry Bates | Counselor | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2010-05-28 |
1669638417 | Siskiyou Community Health Center, Inc. | Clinic/Center | 25647 Redwood Hwy, Cave Junction, OR 97531-9724 | 2008-07-31 |
1700062510 | Siskiyou Community Health Center, Inc. | Clinic/Center | 25647 Redwood Hwy, Cave Junction, OR 97531-9724 | 2008-01-11 |
1356472161 | Michael George Pruner | Nurse Practitioner | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2007-03-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083161608 | Donato and Wood Consulting | Physical Therapist | 218 Redwood Hwy, Cave Junction, OR 97523 | 2016-09-01 |
1366871519 | Coastal Pharmacies, LLC | Pharmacy | 308b S Redwood Hwy, Cave Junction, OR 97523 | 2013-11-08 |
1548497688 | Patricia Lynn Jenkins | Registered Nurse | 28186 Redwood Highway, Cave Junction, OR 97523 | 2009-06-16 |
1386786309 | Eye Care Group of Southern Oregon, P.C. | Optometrist | 335 Caves Highway, Cave Junction, OR 97523 | 2007-02-13 |
1578631461 | Steve Mock | Dentist | 315 - B Caves Highway, Cave Junction, OR 97523 | 2006-12-01 |
1114092079 | Joya H Feltzin | Nurse Practitioner | 625 E River Street, Illinois Valley High School Student Health Center, Cave Junction, OR 97523 | 2006-11-22 |
1316039787 | Elements of Health & Wellness, Inc. | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2006-09-29 |
1861628281 | Chiropractic Wellness Center LLC | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2009-06-01 |
1033344494 | James A Minervini | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2009-05-28 |
1881775989 | John Larry Patton | Dentist | 315 Caves Hwy, Cave Junction, OR 97523-0610 | 2006-10-17 |
Find all providers in zip 97523 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023362894 | Barbara Jo Franklin | Nurse Practitioner | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2012-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700484631 | Dana Marie Hampton | Nurse Practitioner | 2474 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2020-10-13 |
1730796525 | Eden Fair | Nurse Practitioner | 841 E Cascade Ave, Sisters, OR 97759-5014 | 2020-09-25 |
1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
1134740152 | South Coast Healthcare LLC | Nurse Practitioner | 29641 Ellensburg Ave, Gold Beach, OR 97444-8701 | 2020-04-30 |
1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
Find all providers with the same taxonomy |
City | CAVE JUNCTION |
Zip Code | 97523 |
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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.