SIRI C KABRICK (NPI# 1669459004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669459004 |
| Entity Type | Individual |
| Full Name | SIRI C KABRICK |
| Credential | CNP |
| Practice Address |
800 Medical Center Dr Fairmont MN 56031 |
| Mailing Address |
800 Medical Center Dr Fairmont MN 56031-4575 |
| Practice Telephone | 5072388100 |
| Mailing Telephone | 5072388100 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1571 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | R1374816 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| Street Address |
800 MEDICAL CENTER DR |
| City | FAIRMONT |
| State | MN |
| Zip Code | 56031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355022 | Elizabeth Marie Rummel | Dietitian, Registered | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2020-04-22 |
| 1568082543 | Karyn Riewe | Occupational Therapist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2020-04-20 |
| 1245875111 | Alicia Marie Anderson | Family Medicine | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2019-11-14 |
| 1063068062 | Jauclyn Renee Green | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2019-08-15 |
| 1689220733 | Maria Angela Doran-threat | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2019-08-14 |
| 1972087849 | Sara Lorraine Snyder | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2018-09-18 |
| 1205314960 | Maureen Muigai | Internal Medicine | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2018-08-03 |
| 1538655436 | Allison Nicole Young | Pharmacist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2018-07-03 |
| 1053823716 | Michelle Larae Geerdes | Occupational Therapist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2017-11-02 |
| 1255843934 | Stephanie Lynn Andersen | Speech-Language Pathologist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
| 1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
| 1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
| 1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
| 1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
| Find all providers in zip 56031 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740814250 | Kaci Lei Paradis | Nurse Practitioner | 1125 N Prairie Ave, Fairmont, MN 56031-2630 | 2020-02-24 |
| 1588946552 | Jennifer D.c. Molina | Nurse Practitioner | 235 Sandy Beach Rd, Fairmont, WV 26554-7905 | 2011-09-15 |
| 1063068062 | Jauclyn Renee Green | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2019-08-15 |
| 1972087849 | Sara Lorraine Snyder | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2018-09-18 |
| 1306369509 | Sarah R Bergstrom | Nurse Practitioner | 1703 Locust Ave, Fairmont, WV 26554 | 2017-07-19 |
| 1649638339 | Tracy Mitchell | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031 | 2016-02-09 |
| 1861869463 | Danielle Rohrbough | Nurse Practitioner | 1031 Morgantown Ave, Fairmont, WV 26554-4355 | 2015-08-31 |
| 1932517893 | Heidi Stevermer | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031 | 2014-07-23 |
| 1063768232 | Jonathan E Rohde | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031 | 2012-07-25 |
| 1689831810 | Dana Sue Satterfield | Nurse Practitioner | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2008-05-16 |
| Find all providers in FAIRMONT | ||||
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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.