JULIA FAIRBANK (NPI# 1861821837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861821837 |
| Entity Type | Individual |
| Full Name | JULIA FAIRBANK |
| Credential | P.A. |
| Practice Address |
745 Buena Vista Dr Lander WY 82520-3431 |
| Practice Telephone | 3073322941 |
| Practice Fax Number | 3073321920 |
| Mailing Telephone | 3073322941 |
| Mailing Fax Number | 3073321920 |
| Enumeration Date | 2013-11-10 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 3738 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 585 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
745 BUENA VISTA DR |
| City | LANDER |
| State | WY |
| Zip Code | 82520-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303216 | Jan K. Siebersma | Obstetrics & Gynecology | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2005-06-01 |
| 1558912477 | Susan Gail Wolff | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2019-09-23 |
| 1093203069 | Kristine Marie Cardinal | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2018-04-25 |
| 1538688015 | Anna Felton | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2017-09-15 |
| 1699200451 | Regina Ommen | Advanced Practice Midwife | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2017-04-28 |
| 1073856225 | Broc Codi White | Family Medicine | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2013-04-05 |
| 1700123288 | Gannett Peak Physical Medicine LLC | Physical Medicine & Rehabilitation | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2013-01-03 |
| 1407109762 | Michael R. Swenson | Psychiatry & Neurology | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2012-10-23 |
| 1073811584 | Shirley E Schatza | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2011-03-08 |
| 1245556190 | Clinton Mcmahill | Internal Medicine | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2010-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1881134500 | Susan Kreager | Nutritionist | 643 Blue Sky Hwy 132, Ethete, WY 82520 | 2017-02-28 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
| 1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
| 1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
| Find all providers in zip 82520 | ||||
| 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 |
|---|---|---|---|---|
| 1598364051 | Breiana Pedersen | Physician Assistant | 705 Robbies View Dr, Lander, WY 82520-3951 | 2020-10-25 |
| 1841624913 | James Hutchison | Physician Assistant | 745 Buena Vista, Lander, WY 82520-3431 | 2013-08-26 |
| 1548419666 | Heather A Sanders | Physician Assistant | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2008-09-12 |
| 1093801664 | Carol Lee Quillen | Physician Assistant | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2006-10-04 |
| 1366538969 | Edward Arthur Dowie | Physician Assistant | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2006-10-04 |
| 1942301254 | Robert L Darr | Physician Assistant | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2006-09-26 |
| 1730137449 | Nancy A Brewster | Physician Assistant | 8185 Highway 789, Lander, WY 82520-2942 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695339 | Breanna Alisia Young | Physician Assistant | 521 Shoshoni Trl, Glenrock, WY 82637-5217 | 2020-10-07 |
| 1083187199 | Chelsea Eddington | Physician Assistant | 620 Granite Peak Dr Apt 307, Casper, WY 82609-4551 | 2019-01-10 |
| 1174006928 | Robert Walter Carpenter | Physician Assistant | 1208 Hilltop Dr Ste 203, Rock Springs, WY 82901-5859 | 2018-09-07 |
| 1821595224 | Abby Rogers | Physician Assistant | 1331 Prairie Ave Ste 2, Cheyenne, WY 82009-4867 | 2018-04-11 |
| 1467950154 | Kaylun Grandy | Physician Assistant | 1952 Harrison Drive, Evanston, WY 82930-3241 | 2018-01-27 |
| 1336657527 | Lauren Andrews | Physician Assistant | 4140a Laramie St, Cheyenne, WY 82001-1969 | 2018-01-22 |
| 1326591058 | Gale Dahlager Crozier | Physician Assistant | 1 Interloop Rd, Jackson Lake Lodge, Moran, WY 83013 | 2016-07-29 |
| 1255724258 | Jason L Ray | Physician Assistant | 103 W. 3rd St., Marbleton, WY 83113 | 2015-03-15 |
| 1679972798 | Jeffrey Brown | Physician Assistant | 925 Birch St, Glenrock, WY 82637-0786 | 2014-08-14 |
| 1578993671 | Jessica Henry | Physician Assistant | 4140 Laramie St, Cheyenne, WY 82001-1969 | 2013-11-26 |
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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.