KIVA C FALLGATTER (NPI# 1588913289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588913289 |
| Entity Type | Individual |
| Full Name | KIVA C FALLGATTER |
| Credential | PA-C |
| Practice Address |
311 S 72nd Ave Yakima WA 98908-1661 |
| Practice Telephone | 5099721818 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 60385339 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 5216 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
311 S 72ND AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043255441 | Duane Eugene Teerink | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908 | 2006-06-19 |
| 1457613770 | Corinne Denise Glassgow | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2012-06-12 |
| 1124340229 | Memorial Physicians, P.l.l.c. | Clinic/Center | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2010-02-17 |
| 1609018076 | Memorial Practice Management, LLC | Clinic/Center | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2009-04-01 |
| 1215109368 | Medical Associates of Yakima, LLC | Clinic/Center | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2008-03-28 |
| 1740367713 | See Young Chris Yang | Otolaryngology | 311 S 72nd Ave, Yakima, WA 98908 | 2006-11-01 |
| 1942211941 | Anne Marie Teerink | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908 | 2006-08-11 |
| 1255340675 | Joseph L Vickers | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2006-08-05 |
| 1922022037 | Carl R Olden | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908 | 2006-07-26 |
| 1669493227 | Paul E Emmans IIi | Family Medicine | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| 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 |
|---|---|---|---|---|
| 1184105280 | Grace Draculan | Physician Assistant | 1020 S 40th Ave Ste A, Yakima, WA 98908-3800 | 2018-08-27 |
| 1275087660 | Jeffery Matthew Cowman | Physician Assistant | 1460 N 16th Ave Ste D, Yakima, WA 98902-7102 | 2016-08-15 |
| 1477704559 | Jennifer Martin | Physician Assistant | 602 E. Nob Hill Blvd., Yakima, WA 98901-3534 | 2008-10-07 |
| 1982763785 | Gregory B Bickel | Physician Assistant | 3810 Kern Way Ste B, Yakima, WA 98902-7805 | 2006-12-07 |
| 1376555664 | Ryan Joseph Beachy | Physician Assistant | 3909 Creekside Loop Ste 115, Yakima, WA 98902-4880 | 2006-08-13 |
| 1801810924 | Eric Hohman | Physician Assistant | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2006-07-26 |
| 1427099613 | Matthew Rosenberger | Physician Assistant | 206 S 11th Ave Ste 48, Yakima, WA 98902-3205 | 2006-06-09 |
| 1871561712 | Lynn E Briggs | Physician Assistant | 206 S 11th Ave, Suite 48, Yakima, WA 98902-3205 | 2006-03-08 |
| 1679037154 | Milroy Emergency Group A Professional LLC | Physician Assistant | 110 S 9th Ave, Yakima, WA 98902-3315 | 2019-01-29 |
| 1841762481 | Rachael Cleghorn | Physician Assistant | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2018-12-20 |
| Find all providers in YAKIMA | ||||
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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.