RACHEL DESIMONE (NPI# 1073864492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073864492 |
| Entity Type | Individual |
| Full Name | RACHEL DESIMONE |
| Other Name | RACHEL FISHERKELLER |
| Credential | APRN |
| Practice Address |
202 Conway Dr Ste 200 Kalispell MT 59901-3153 |
| Practice Telephone | 8442157969 |
| Practice Fax Number | 4067587080 |
| Mailing Telephone | 8442157969 |
| Mailing Fax Number | 4067587080 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
102671 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0000000 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
202 CONWAY DR STE 200 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245341874 | Tracy Edward Rogers | Physician Assistant | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2006-08-31 |
| 1154785822 | Kalispell Regional Medical Center Inc | Pediatrics | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2016-04-08 |
| 1134461452 | Ashley Ann Dunn | Dietitian, Registered | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2013-03-25 |
| 1891990081 | Kimberly Lynn Longcake | Nurse Practitioner | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2007-06-18 |
| 1770639387 | Thomas E. Flass | Pediatrics | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2007-01-26 |
| 1952458747 | Daniel Lustig | Pediatrics | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2007-01-04 |
| 1437243763 | Brianne Peltz | Physician Assistant | 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 | 2006-10-03 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154650752 | Brandi Leighann Skiles | Nurse Practitioner | 350 Heritage Way Ste 1100, Kalispell, MT 59901-3160 | 2009-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417424425 | Claire Alexandra Steinberg | Nurse Practitioner | 2835 Fort Missoula Rd Ste 301, Missoula, MT 59804-7424 | 2018-10-29 |
| 1871009548 | Chandice Yvonne Covington | Nurse Practitioner | 415 13th Ave East, Poplar, MT 59255 | 2017-12-18 |
| 1770917544 | Julie Heather Alexander-ruff | Nurse Practitioner | 1417 13th Avenue East, Poplar, MT 59255-0000 | 2013-08-28 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1578841912 | Sara G Goroski | Nurse Practitioner | 1300 28th St S Ste 6, Benefis Hospital Pediatrics, Great Falls, MT 59405-5296 | 2011-08-03 |
| 1437299831 | Mary Pat Hansen | Nurse Practitioner | 1114 W Main St, South Valley Pediatrics, Hamilton, MT 59840 | 2007-02-07 |
| 1467512673 | Paul Albert Sattler | Nurse Practitioner | Blackfeet Community Hospital, 760 Hosital Way, Browning, MT 59417 | 2006-12-11 |
| 1306954136 | Paula J Coleman | Nurse Practitioner | 1001 River Dr, Livingston, MT 59047-3716 | 2006-08-29 |
| 1598737017 | Arlys Williams | Nurse Practitioner | 20 13th St, Havre, MT 59501-5222 | 2006-02-07 |
| 1225024086 | Lynne Arlene Foss | Nurse Practitioner | 206 Alaska Frontage Rd, Belgrade, MT 59714-7909 | 2005-09-27 |
| Find all providers with the same taxonomy | ||||
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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.