KRISTIN VAN TASSELL (NPI# 1740679430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740679430 |
| Entity Type | Individual |
| Full Name | KRISTIN VAN TASSELL |
| Credential | FNP |
| Practice Address |
118 N Main St Suite B Salem UT 84653-5698 |
| Practice Telephone | 8014779007 |
| Mailing Telephone | 8014779007 |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2015-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6097293-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
118 N MAIN ST SUITE B |
| City | SALEM |
| State | UT |
| Zip Code | 84653-5698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770723306 | Salem Hills Pharmacy Inc | Pharmacy | 118 N Main St, Salem, UT 84653-5698 | 2009-02-23 |
| 1992990311 | Chad Allen Parrish | Physician Assistant | 118 N Main St, Ste B, Salem, UT 84653-5698 | 2007-09-10 |
| 1316993520 | Stanley Dwayne Roberts | Emergency Medicine | 118 N Main St, Ste B, Salem, UT 84653-5698 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487008603 | Douglas Robert Clark | Optometrist | 446 N State Road 198, Salem, UT 84653 | 2016-04-14 |
| 1811357791 | Melanie Pace | Dental Hygienist | 818 East 750 South, Salem, UT 84653 | 2016-03-04 |
| 1265773899 | Bill Clifford Marshall | Marriage & Family Therapist | 405 S Maple Dr, Woodland Hills, UT 84653 | 2013-03-06 |
| 1013159995 | Elder Assisted Living LLC | Assisted Living Facility | 1015 S 550 W, Salem, UT 84653 | 2009-03-24 |
| 1780884247 | David Kent Hansen | Dentist | 204 East 400 North, Suite A, Salem, UT 84653 | 2007-07-23 |
| 1154524965 | Justin Thomas Perry | Dentist | 40 South 200 West, Salem, UT 84653 | 2007-06-08 |
| 1013130947 | John E Braithwaite | Dentist | 40 S 200 W, Salem, UT 84653 | 2007-04-10 |
| 1104972827 | Salem City Corporation | Ambulance | 30 W 100 S, Salem, UT 84653 | 2007-01-26 |
| 1700989209 | James Bryan Bonny | Dentist | 245 W State Hwy 198, Suite 6, Salem, UT 84653 | 2006-09-07 |
| 1578574570 | Kids Who Count | Day Training, Developmentally Disabled Services | 345 N Sr 198, Salem, UT 84653 | 2006-08-11 |
| Find all providers in zip 84653 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
| 1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
| 1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
| 1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
| 1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
| 1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
| 1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
| 1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
| Find all providers in SALEM | ||||
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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.