KIMBERLY ANNE BEGALLA (NPI# 1174563241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174563241 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNE BEGALLA |
| Credential | CFNP |
| Practice Address |
75 Yellow Creek Rd Suite 202 Evanston WY 82930-5235 |
| Mailing Address |
Po Box 1382 Evanston WY 82931-1382 |
| Practice Telephone | 3077896111 |
| Practice Fax Number | 3077897111 |
| Mailing Telephone | 3077896111 |
| Mailing Fax Number | 3077897111 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 19196.0204 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 118122000 | 05 |
| Street Address |
75 YELLOW CREEK RD SUITE 202 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005347 | Michael Dean Adams | Family Medicine | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2005-06-30 |
| 1285003970 | Terrick Harrild | Physician Assistant | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2015-09-23 |
| 1235495771 | Bear Lake Community Health Centers | Clinic/Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2012-04-10 |
| 1063794816 | Ronald Janeiro Dolan | Counselor | 75 Yellow Creek Rd, Suite 105, Evanston, WY 82930-5235 | 2011-09-16 |
| 1356621213 | Adrienne Southard | Nurse's Aide | 75 Yellow Creek Rd, 105, Evanston, WY 82930-5235 | 2011-08-24 |
| 1619257540 | Coreena J Bradley | Licensed Practical Nurse | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-08-23 |
| 1346548088 | Alma D Coleman | Case Manager/Care Coordinator | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-03-04 |
| 1235437989 | Renee C Walker | Nurse's Aide | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-03-04 |
| 1205013455 | Michael D. Adams, M.d., P.C. | Family Medicine | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2008-01-29 |
| 1023177375 | Uinta Urgent Care | Nurse Practitioner | 75 Yellow Creek Rd, Suite 202, Evanston, WY 82930 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| 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. |
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|---|---|---|---|---|
| 1144839200 | Katrina Francis | Nurse Practitioner | 2650 Ridge Ave Rm G903c, Evanston, IL 60201-1700 | 2020-07-24 |
| 1053955765 | Meredith Joy Stroup | Nurse Practitioner | 2650 Ridge Ave Rm 4945, Evanston, IL 60201-1700 | 2019-11-05 |
| 1295223063 | Alina Zubrickaite | Nurse Practitioner | 800 Austin St Ste 369, Evanston, IL 60202-3454 | 2018-04-27 |
| 1255718797 | Megan Elizabeth Mattingly | Nurse Practitioner | 2650 Ridge Ave # 4945, Evanston, IL 60201 | 2015-05-05 |
| 1558548099 | Nataliya Omelchenko | Nurse Practitioner | 2650 Ridge Ave Ste 4222, Department of Neurosurgery, Evanston, IL 60201-1718 | 2008-01-28 |
| 1518099589 | Beth A Slutsky | Nurse Practitioner | 1950 Mcdaniel Ave, Evanston, IL 60201-2123 | 2007-03-12 |
| 1578518221 | Virginia Schelbert | Nurse Practitioner | 2523 Asbury Ave, Evanston, IL 60201-2308 | 2006-05-23 |
| 1558975078 | Lauren Grandi | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-09-02 |
| 1366069270 | Gnathan Andrew Carpenter | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-06-26 |
| 1477186203 | Jin Hee Kim | Nurse Practitioner | 1000 Central St Ste 800, Evanston, IL 60201-1780 | 2020-02-20 |
| Find all providers in EVANSTON | ||||
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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.