SARA MARIE HULL (NPI# 1619592912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619592912 |
Entity Type | Individual |
Full Name | SARA MARIE HULL |
Other Name | SARA MARIE FISHER |
Credential | NP-C |
Practice Address |
6641 Kaniksu St Bonners Ferry ID 83805-7532 |
Mailing Address |
93 Quiet Pl Moyie Springs ID 83845-5357 |
Practice Telephone | 2082673655 |
Mailing Telephone | 2082905354 |
Enumeration Date | 2020-06-11 |
Last Update Date | 2020-06-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
65050 | ID | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6641 KANIKSU ST |
City | BONNERS FERRY |
State | ID |
Zip Code | 83805-7532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063412534 | Michael D Snyder | Family Medicine | 6641 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2005-07-27 |
1801273552 | Boundary Community Hospital | Clinic/Center | 6641 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2015-05-01 |
1780910547 | Scott Lacefield | Physician Assistant | 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805-7532 | 2009-10-28 |
1285772699 | Janet Marie Lukehart | Nurse Practitioner | 6641 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2007-02-01 |
1134274103 | Main Street Medical LLC | Family Medicine | 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805-7532 | 2007-01-23 |
1356374664 | Chuck Lee Newhouse | Family Medicine | 6641 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2006-07-09 |
1871557991 | Susan J Layeux | Family Medicine | 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805-7532 | 2006-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366990996 | Nicole Diana Madill | Counselor | 687 Cody Street, Bonners Ferry, ID 83805 | 2016-09-12 |
1154770295 | Rachel Meiland Webster | Social Worker | 6686 Augusta Bldg 100, Bonners Ferry, ID 83805 | 2016-06-09 |
1205211786 | Robert Rossi | Social Worker | Kaniksu Health Services, 6615 Comanche St, Bonners Ferry, ID 83805 | 2015-07-24 |
1154660041 | Mark R. Barker, O.d.p.c. | Optometrist | 7177 Main St., Bonners Ferry, ID 83805 | 2013-02-12 |
1003182668 | Jessica Faye Horricks | Dentist | 6615 Commanche, Bonners Ferry, ID 83805 | 2012-03-28 |
1427334929 | Tanya Marie Allmaras | Physician Assistant | 6635 Comanche Street, Bonners Ferry, ID 83805 | 2011-10-27 |
1114259769 | Joshua Olen Shelton | Chiropractor | 6389 Bonner St., Bonners Ferry, ID 83805 | 2010-02-08 |
1558690644 | April C Christman | Social Worker | 6615 Comanche Street, Bonners Ferry, ID 83805 | 2009-12-18 |
1407006067 | Denys Taipale-knight | Counselor | 385 Moose Ridge Lane, Bonners Ferry, ID 83805 | 2008-09-19 |
1013126457 | John Pierce Brownlee Jr. | Registered Nurse | 6640 Kaniksu Street, Boundary Community Hospital, Bonners Ferry, ID 83805 | 2007-05-22 |
Find all providers in zip 83805 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326349911 | Sherry Lee Bushnell | Nurse Practitioner | 6448 Chinook St., Bonners Ferry, ID 83805-8380 | 2010-11-12 |
1922548494 | Ryan James Gorman | Nurse Practitioner | 6488 Chinook St, Bonners Ferry, ID 83805-7515 | 2017-03-03 |
1285772699 | Janet Marie Lukehart | Nurse Practitioner | 6641 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2007-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
1710588108 | Lauren Proteau | Nurse Practitioner | 310 S Acer Loop, Post Falls, ID 83854-8809 | 2020-11-03 |
1568061398 | Nicolette A Eberline | Nurse Practitioner | 4228 W Guard St Bldg 665, Boise, ID 83705-8049 | 2020-10-22 |
1023617347 | Kristina Oliver | Nurse Practitioner | 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814-2668 | 2020-10-19 |
1730787482 | John Dustin Pena | Nurse Practitioner | 102 Courthouse Dr Ste F, Salmon, ID 83467-3905 | 2020-10-14 |
1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
1659979516 | Jennifer Anne Gardner | Nurse Practitioner | 1385 Park View Dr Ste 101, Twin Falls, ID 83301-4390 | 2020-10-13 |
1982210795 | Samuel Hally | Nurse Practitioner | 1346 Cimarron Ct, Middleton, ID 83644-5894 | 2020-09-17 |
1013522275 | Beau Lee | Nurse Practitioner | 2900 N Burton St, Boise, ID 83704-5314 | 2020-09-14 |
1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
Find all providers with the same taxonomy |
City | BONNERS FERRY |
Zip Code | 83805 |
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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.