THERESE MCMAHAN (NPI# 1760468078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760468078 |
| Entity Type | Individual |
| Full Name | THERESE MCMAHAN |
| Credential | CNM |
| Practice Address |
1300 Hospital Loop Belcourt ND 58316-0160 |
| Mailing Address |
Po Box 160 Belcourt ND 58316-0160 |
| Practice Telephone | 7014776111 |
| Practice Fax Number | 7014772507 |
| Mailing Telephone | 7014776111 |
| Mailing Fax Number | 7014772507 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
198407 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1300 HOSPITAL LOOP |
| City | BELCOURT |
| State | ND |
| Zip Code | 58316-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074379 | Rachel Marie Modrow | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2020-02-07 |
| 1760025753 | Zyonne Theo Servo Arcena | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2019-10-22 |
| 1346882230 | Alicia May Dolbeare | Nurse Practitioner | 1300 Hospital Loop, Belcourt, ND 58316 | 2019-10-11 |
| 1689229346 | Abby Wilder | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2019-08-08 |
| 1871074492 | Andrew Kenneth Glatz | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-08-22 |
| 1811482334 | Jenna Leigh Larson | Family Medicine | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-06-27 |
| 1790288025 | Mikisha Longie | Registered Nurse | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-03-13 |
| 1891293965 | My-oanh Thi Nguyen | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-01-24 |
| 1578081238 | Marianne Young Eagle | Registered Nurse | 1300 Hospital Loop, Belcourt, ND 58316 | 2017-09-01 |
| 1952825952 | Christina Mae Morin | Registered Nurse | 1300 Hospital Loop, Belcourt, ND 58316 | 2017-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012656 | Ryan Wickerham | Technician | 9862 46th Ave Ne 1191 Kent Addition, 1191, Belcourt, ND 58316 | 2020-10-31 |
| 1396345146 | Melinda Marie Desjarlais | Technician | 9826 46th Ave Ne, Belcourt, ND 58316 | 2020-10-30 |
| 1417591140 | Molly Sue Beyer | Nurse Practitioner | 1300 Hospital Loop Road, Belcourt, ND 58316 | 2019-11-06 |
| 1114430519 | John Robert Kerr | Dentist | Quentin N. Burdick Memorial Hospital 1300 Hospital Loop, Belcourt, ND 58316 | 2017-11-08 |
| 1174979694 | Jan Birkland | Case Manager/Care Coordinator | 4051 Highway 281, Belcourt, ND 58316 | 2016-05-13 |
| 1841644291 | Berry James Poitra | Pharmacist | Moonlight Drive Highway 5, Belcourt, ND 58316 | 2016-04-21 |
| 1114380748 | Bernice Delorme | Social Worker | Bldg 152, John Norquay Street, Belcourt, ND 58316 | 2016-03-31 |
| 1326425943 | Turtle Mountain Band of Chippewa | Private Vehicle | 1023 Chief Little Shell Street Ne, Belcourt, ND 58316 | 2015-05-04 |
| 1336535038 | Turlte Mountain Maternal Child Health Program | Case Management | Building 150 John Norquay Street, Belcourt, ND 58316 | 2015-04-09 |
| 1982006672 | Eugene Monette | Physical Therapist | 4278 Bia Road 8, Belcourt, ND 58316 | 2014-09-24 |
| Find all providers in zip 58316 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275001992 | Heidi Selzler-echola | Nurse Practitioner | 100 4th St S Ste 608, Fargo, ND 58103-1940 | 2018-11-12 |
| 1578127080 | Desiree Froslie | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2019-04-30 |
| 1144784000 | Kayla Marie Benz | Nurse Practitioner | 414 N 7th St, Bismarck, ND 58501-4423 | 2019-01-24 |
| 1467948455 | Allison Harrison | Nurse Practitioner | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2018-07-03 |
| 1215287495 | Cheri B Cross | Nurse Practitioner | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2012-09-14 |
| 1285899138 | Kendra Leigh Roloff | Nurse Practitioner | 401 N 9th St, Bismarck, ND 58501-4530 | 2008-07-21 |
| 1841379401 | Avis L Grothem | Nurse Practitioner | 306 4th St N, Fargo, ND 58102-4820 | 2006-11-03 |
Please comment or provide details below to improve the information on THERESE MCMAHAN.
| 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.