KATHERINE A TETRAULT (NPI# 1306153432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306153432 |
| Entity Type | Individual |
| Full Name | KATHERINE A TETRAULT |
| Credential | PA |
| Practice Address |
220 E Crofoot St Sheridan MT 59749-0336 |
| Mailing Address |
Po Box 6369 Helena MT 59604-6369 |
| Practice Telephone | 4068425453 |
| Practice Fax Number | 4068425455 |
| Mailing Telephone | 4064472823 |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2015-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MED-PAC-LIC-1864 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085003834 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | STATE OF MONTANA PHYSICIAN ASSISTANT LICENSE | MED-PAC-LIC-18647 | 01 |
| Street Address |
220 E CROFOOT ST |
| City | SHERIDAN |
| State | MT |
| Zip Code | 59749-0336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154802676 | Peak Mental Health, LLC | Clinic/Center | 120 S. Main St, Suite 102, Sheridan, MT 59749 | 2018-08-23 |
| 1679941876 | Jon Beach | Specialist/Technologist | 101 Madison Street, Sheridan, MT 59749 | 2015-09-04 |
| 1154522555 | Ann Martineau Payne | Physical Therapist | 209 South Main, Sheridan, MT 59749 | 2007-05-31 |
| 1912067687 | Robert Thomas Bartoletti | Dentist | 115 Mill, Sheridan, MT 59749 | 2006-12-11 |
| 1497823462 | Ruby Valley Ambulance Service Inc | Ambulance | 220 E Crofoot, Sheridan, MT 59749 | 2006-11-30 |
| 1225026966 | Dana S Harvey | Physician Assistant | 210 E Crofoot, Sheridan, MT 59749 | 2005-10-06 |
| 1205823135 | Roman Michael Hendrickson Sr. | Family Medicine | 210 E Crofoot St, Sheridan, MT 59749 | 2005-10-05 |
| 1497184956 | Augcom Solutions, LLC | Speech-Language Pathologist | 203 S Main, Sheridan, MT 59749 | 2013-11-05 |
| 1174792634 | Augcom Solutions LLC | Clinic/Center | 203 S Main, Sheridan, MT 59749 | 2008-02-28 |
| 1528167905 | Butte Silver Bow Primary Health Care Clinic | Clinic/Center | 317 Madison, Sheridan, MT 59749-0245 | 2006-09-21 |
| Find all providers in zip 59749 | ||||
| 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 |
|---|---|---|---|---|
| 1144259938 | Wendy Marie Ongaro | Physician Assistant | 31 E Whitney St., Sheridan, WY 82801-4842 | 2006-07-02 |
| 1568418192 | South Sheridan Medical Center, Inc | Physician Assistant | 1842 Sugarland Drive, Suite 103, Sheridan, WY 82801-5719 | 2006-05-25 |
| 1225026966 | Dana S Harvey | Physician Assistant | 210 E Crofoot, Sheridan, MT 59749 | 2005-10-06 |
| 1861492316 | Elizabeth J Steinle | Physician Assistant | 303 Congress St, Sheridan, MI 48884-9215 | 2005-07-27 |
| 1285258731 | Jeff H Gardner | Physician Assistant | 1435 Burton St, Sheridan, WY 82801-2723 | 2020-06-01 |
| 1033653282 | Jessica Renee Winston | Physician Assistant | 506 Little Creek Cut Off Rd, Sheridan, AR 72150-7798 | 2016-12-07 |
| 1366998437 | Sean Michael Schoonover | Physician Assistant | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2016-08-29 |
| 1356744890 | Kenneth Chandler Mckenzie | Physician Assistant | 1401 W 5th St, Sheridan, WY 82801-2705 | 2014-09-29 |
| 1205147576 | Amy Nicole Ledoux | Physician Assistant | 206 N Brooks St, Sheridan, WY 82801-3801 | 2010-07-01 |
| 1154654515 | Wendy Price | Physician Assistant | 1333 W 5th St Ste 103, Sheridan, WY 82801-2752 | 2009-09-16 |
| Find all providers in SHERIDAN | ||||
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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.