CHRISTINA MORAN KITCHEN


Address: 555 E Broadway Ave, Suite 108, Jackson, WY 83001-8640
Phone: 3077341005

CHRISTINA MORAN KITCHEN (NPI# 1679742258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679742258
Entity Type Individual
Full Name CHRISTINA MORAN KITCHEN
Credential FNP
Practice Address 555 E Broadway Ave
Suite 108
Jackson
WY 83001-8640
Mailing Address Po Box 3306
Idaho Falls
ID 83403-3306
Practice Telephone 3077341005
Practice Fax Number 3077341165
Mailing Telephone 3077341201
Mailing Fax Number 3077341165
Enumeration Date 2008-02-27
Last Update Date 2015-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
24423.0895 WY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 555 E BROADWAY AVE
SUITE 108
City JACKSON
State WY
Zip Code 83001-8640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336124890 Angus G Goetz IIi Orthopaedic Surgery 555 E Broadway Ave, Jackson, WY 83001-8640 2005-12-07
1013403013 Devyn K Parnes Physician Assistant 555 E Broadway Ave, Jackson, WY 83001-8640 2018-07-03
1447785829 Nola Peacock Physical Therapist 555 E Broadway Ave, Suite 113, Jackson, WY 83001-8640 2017-04-24
1609323302 Calvin P Schenk Physician Assistant 555 E Broadway Ave, Suite 201, Jackson, WY 83001-8640 2016-09-09
1194196667 Sarah J Peterson Dietitian, Registered 555 E Broadway Ave, Ste 201, Jackson, WY 83001-8640 2015-10-09
1679994933 Lindsay Katherine Love Physical Therapist 555 E Broadway Ave, Jackson, WY 83001-8640 2014-01-03
1588005193 Cara Anne Sengebush Physical Therapist 555 E Broadway Ave, Jackson, WY 83001-8640 2013-07-11
1336588672 Mountain Therapy Pllc Counselor 555 E Broadway Ave, Suite 216, Jackson, WY 83001-8640 2013-06-20
1376895169 Patricia Drui Speech-Language Pathologist 555 E Broadway Ave, Suite 100, Jackson, WY 83001-8640 2012-10-04
1982955001 Carol Bocker Speech-Language Pathologist 555 E Broadway Ave, Suite 100, Jackson, WY 83001-8640 2012-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861006108 Anne Kathleen Milburn Physical Therapist 3620 S Park Drive, Jackson, WY 83001 2020-09-03
1568009637 Katherine Pringle Ford Case Manager/Care Coordinator 2065 E. Limber Pine Road, Jackson, WY 83001 2019-12-07
1043878408 Cossette Burnham Physical Therapist Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 2019-05-31
1982169371 Cynthia Buck Huyffer Social Worker 755a Cache Creek Drive, Jackson, WY 83001 2019-02-10
1093281594 Lara Cilo Speech-Language Pathologist 1300 W. Valley Springs Road, Jackson, WY 83001 2018-10-23
1740776202 Teton Oral and Maxillofacial Surgery Dentist 1160 Alpine Ln Ste 1d, Jackson, WY 83001 2018-07-09
1437642055 Anna Yanchek Physical Therapist 1090 Us- 89, Jackson Hole, WY 83001 2018-06-08
1891200762 Tyler Ross Wright Chiropractor 1325 Us-89, Suite 108, Jackson, WY 83001 2017-12-13
1073027280 Root To Rise Counseling and Consulting, Pllc Social Worker 2033 Dandelion Court, Jackson, WY 83001 2017-11-27
1962923912 Piper Worthington Social Worker 1910 High School Rd, Jackson, WY 83001 2017-06-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073113627 Jessicah Blasdel Nurse Practitioner 113 W Michigan Ave, Jackson, MI 49201-1340 2020-10-31
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1992315212 Patrecia Campbell Nurse Practitioner 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 2020-08-01
1669008926 Kristine Edwards Nurse Practitioner 723 Woodlawn Ave, Jackson, MI 49203-2921 2020-03-19
1295366391 Christy White Nurse Practitioner 363 Old Pinson Rd, Jackson, TN 38301-9576 2020-01-28
1972141620 Primary Care - Bemis, LLC Nurse Practitioner 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 2019-12-12
1174164263 Tami Anne Miller Nurse Practitioner 124 N Bast St, Jackson, MO 63755-1704 2019-10-01
1265080584 Cameron Nicole Howard Nurse Practitioner 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 2019-08-29
1831750843 Rhiannon Michelle Andresen Nurse Practitioner 1022 Greystone Sq, Jackson, TN 38305-3580 2019-06-21
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Competitor

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City JACKSON
Zip Code 83001

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Dataset Information

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.

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