LACI ANN BURK (NPI# 1588912836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588912836 |
| Entity Type | Individual |
| Full Name | LACI ANN BURK |
| Credential | FNP-BC |
| Practice Address |
75 Claremont St Suite A Kalispell MT 59901-3585 |
| Practice Telephone | 4067528282 |
| Practice Fax Number | 4062572225 |
| Mailing Telephone | 4067528282 |
| Mailing Fax Number | 4062572225 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NUR-RN-LIC-34875 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
75 CLAREMONT ST SUITE A |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808478 | Joseph Hugh Boyle | Psychiatry & Neurology | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2005-08-22 |
| 1891151122 | Kalispell Regional Medical Center Inc | Internal Medicine | 75 Claremont St, Suite E, Kalispell, MT 59901-3585 | 2015-12-31 |
| 1184011561 | Healthcenter Northwest LLC | Obstetrics & Gynecology | 75 Claremont St, Suite A, Kalispell, MT 59901-3585 | 2015-04-23 |
| 1821429374 | Anne Green | Nurse Practitioner | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2013-12-10 |
| 1174956973 | Kalispell Regional Medical Center Inc | Psychiatry & Neurology | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2013-08-15 |
| 1215223029 | Benjamin Todd Eastham | Obstetrics & Gynecology | 75 Claremont St, Suite A, Kalispell, MT 59901-3585 | 2011-06-21 |
| 1952692766 | Kalispell Regional Medical Center Inc | Clinic/Center | 75 Claremont St, #h, Kalispell, MT 59901-3531 | 2011-04-27 |
| 1912140435 | Michael Todd Rutherford | Psychiatry & Neurology | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2009-04-14 |
| 1275789901 | Glacier Oncology, Pllc | Clinic/Center | 75 Claremont St, Suite E, Kalispell, MT 59901-3585 | 2008-08-13 |
| 1972720811 | Kalispell Gastroenterology,pc | Specialist | 75 Claremont St, Suite F, Kalispell, MT 59901-3585 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110268 | Heidi Kearns | Nurse Practitioner | 1038 3rd Ave E, Kalispell, MT 59901-5642 | 2020-10-01 |
| 1790258358 | Brooke Hoving | Nurse Practitioner | 770 W Reserve Dr # 3, Kalispell, MT 59901-2130 | 2019-01-07 |
| 1437565629 | Deven Duus Robinson | Nurse Practitioner | 31 Three Mile Dr Ste 102, Kalispell, MT 59901-1400 | 2014-07-08 |
| 1265873780 | Dena J Geiger | Nurse Practitioner | 2181 Hwy 2 East, Suite 9, Kalispell, MT 59901 | 2013-07-12 |
| 1427243971 | Kalispell Reginal Medical Center | Nurse Practitioner | 170 Hutton Ranch Road, Kalispell, MT 59937-3112 | 2007-09-07 |
| 1467522615 | Lottie Lucille Block | Nurse Practitioner | 1075 North Meridian, Kalispell, MT 59904-3699 | 2006-11-08 |
| 1164522892 | Pamela J Schepe | Nurse Practitioner | 2181 Us Highway 2 E Ste 9, Kalispell, MT 59901-2858 | 2006-09-23 |
| 1184653248 | Erika Anne Decree | Nurse Practitioner | 2181 Us Hwy 2, Kalispell, MT 59901 | 2006-07-01 |
| 1063453181 | Karen Skonord | Nurse Practitioner | 2282 Us Highway 93 S Apt 1, Kalispell, MT 59901 | 2006-06-09 |
| 1750372637 | Karen D Heberling | Nurse Practitioner | 245 Windward Way, Suite 101, Kalispell, MT 59901-3133 | 2005-10-31 |
| Find all providers in KALISPELL | ||||
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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.