KATHERINE KOWALK (NPI# 1790382240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790382240 |
| Entity Type | Individual |
| Full Name | KATHERINE KOWALK |
| Credential | PA-C |
| Practice Address |
3108 Bryce Dr Fort Collins CO 80525-3119 |
| Practice Telephone | 6305251631 |
| Mailing Telephone | 6305251631 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0006186 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3108 BRYCE DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| 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 |
|---|---|---|---|---|
| 1386244895 | Cheyenne M Zurfluh | Physician Assistant | 1301 Lory St, Fort Collins, CO 80524-4213 | 2020-10-26 |
| 1295384766 | Katelyn Feczko | Physician Assistant | 1120 E Elizabeth St Ste 2, Fort Collins, CO 80524-4044 | 2019-09-08 |
| 1750936506 | Stefan Lee | Physician Assistant | 2813 Seccomb St, Fort Collins, CO 80526-6211 | 2019-08-08 |
| 1801372065 | Rachael Mcgaha Miller | Physician Assistant | 837 Columbia Rd, Fort Collins, CO 80525-1837 | 2018-07-11 |
| 1699287953 | Caroline Kelly Tuchowski | Physician Assistant | 2121 E Harmony Rd Unit 360, Fort Collins, CO 80528-3404 | 2017-10-26 |
| 1639543473 | Mh Health Care Services, PC | Physician Assistant | 2310 E Prospect Rd Ste D, C/o Larimer County Employee Health Center, Fort Collins, CO 80525-9770 | 2015-11-17 |
| 1851783435 | Christon Chilen | Physician Assistant | 2950 Brumbaugh Dr, Fort Collins, CO 80526-6231 | 2015-02-19 |
| 1851797104 | Julianna Valdez Taylor | Physician Assistant | 214 N Howes St, Fort Collins, CO 80521-2011 | 2014-11-14 |
| 1356778914 | Reed Mark Soukup | Physician Assistant | 2001 S Shields E101, Fort Collins, CO 80526-1872 | 2013-09-27 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.