Kathleen Fagerland, CNM

Primary specialty

Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X

License

CNM-41A Issued in ID

Practice address

200 2ND Ave N
Twin Falls, ID 83301-6158

Phone

(208) 734-9955

Fax

(208) 734-9966

NPI assigned

Sep 18, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Planned Parenthood of Idaho

  • Clinic/Center
  • Boise, ID
  • NPI 1447376355
  NPD (past)
• Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky

  • Non-Surgical Family Planning Clinic/Center
  • Seattle, WA
  • NPI 1083700686
  NPD (past)
• Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky

  dba Planned Parenthood of Indiana and Kentucky

  • Non-Surgical Family Planning Clinic/Center
  • Indianapolis, IN
  • NPI 1891743092
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1124214788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3668 N HARBOR LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036914",
            "telephone_number": "208-376-9300",
            "fax_number": "208-376-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 2ND AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016158",
            "telephone_number": "208-734-9955",
            "fax_number": "208-734-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGERLAND",
        "first_name": "KATHLEEN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "ID",
            "license": "CNM-41A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyecenter PA (Twin Falls Eyecenter)
• Eyemart Express LLC
• Christopher Adam Eyre, MD
• Joseph Ezer, M.D.
• James Edward Fabe, DDS
• Kimberly Ann Failes, MS LPC LAT
• Laura M Fall, MD
• Falls Avenue Immediate Care PA
• Falls Centre for Functional Medicine, PLLC.
• Falls Orthodontics PLLC

• Clinical Nurse Specialist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Clinical Nurse Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.