KATIE DAWN JARSTAD (NPI# 1326099672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326099672 |
| Entity Type | Individual |
| Full Name | KATIE DAWN JARSTAD |
| Other Name | KATIE DAWN KLEIN |
| Credential | PA-C |
| Practice Address |
315 W Dalton Ave Ste B Coeur D Alene ID 83815-8600 |
| Mailing Address |
1593 E Polston Ave Post Falls ID 83854-5326 |
| Practice Telephone | 2082092066 |
| Practice Fax Number | 2082092076 |
| Mailing Telephone | 2082622300 |
| Mailing Fax Number | 2082622390 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-580 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-580 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1326099672 | 05 |
| Street Address |
315 W DALTON AVE STE B |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83815-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922079235 | Thomas Arthur Neal | Family Medicine | 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815-8600 | 2006-01-27 |
| 1003315789 | Holly Marie Collins | Registered Nurse | 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815-8600 | 2018-02-07 |
| 1538233796 | Douglas John Nicholson | Family Medicine | 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815-8600 | 2006-11-20 |
| 1215984638 | Robert W Hagen | Family Medicine | 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815-8600 | 2006-05-30 |
| 1912959321 | Scott William Gibbs | Physician Assistant | 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815-8600 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
| 1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
| 1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
| 1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
| 1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
| 1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
| 1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
| 1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
| 1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
| 1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
| Find all providers in zip 83815 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831524875 | Regan R Brown | Physician Assistant | 700 W Ironwood Dr Ste 275, Coeur D Alene, ID 83814-4400 | 2013-09-10 |
| 1770760118 | Erika Valtinson | Physician Assistant | 700 W Ironwood Dr Ste 320, Coeur D Alene, ID 83814-4485 | 2008-01-29 |
| 1164581849 | Thomas J Byrne | Physician Assistant | 109. E Harrison Ave., Coeur D Alene, ID 83814-2785 | 2006-12-08 |
| 1497738827 | Magen S Schmidt | Physician Assistant | 2236 N Merrit Crk Loop Ste A, Coeur D Alene, ID 83814 | 2005-11-21 |
| 1215926258 | Laurie Gallegos | Physician Assistant | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2005-10-20 |
| 1649879081 | Grace Suyanti Muliawan | Physician Assistant | 980 W Ironwood Dr Ste 207, Coeur D Alene, ID 83814-2668 | 2020-10-17 |
| 1700427796 | Colin Beacom | Physician Assistant | 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814-2668 | 2019-10-01 |
| 1447800552 | Keith Mccullough | Physician Assistant | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-19 |
| 1851869200 | Britni Turkenburg | Physician Assistant | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814 | 2018-11-04 |
| 1548736960 | Melanie Jane Moss | Physician Assistant | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2018-10-23 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83815 |
Please comment or provide details below to improve the information on KATIE DAWN JARSTAD.
| 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.