Kristin Ficklin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

130 Golf Course Rd # B
St Maries, ID 83861-7190

Phone

(818) 584-9323

NPI assigned

Jan 17, 2022

Sex

Female

Sole proprietor

No

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.

• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1194397240

  Clinical

  Care Compare group NPD
• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1285686477

  Social Worker

  Care Compare group NPD
• Kristin Lane PLLC

  • Clinical Social Worker
  • Saint Maries, ID
  • NPI 1841140985

  Clinical

  NPD Authorized official
• Dirne Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1053980110
  Care Compare group
• Dirne Health Centers Inc

  • Pharmacy
  • Coeur D Alene, ID
  • NPI 1326758095
  Care Compare group
• Dirne Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • St Maries, ID
  • NPI 1568910156
  Care Compare group
• Dirne Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1447305610
  Care Compare group
• Dirne Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Kellogg, ID
  • NPI 1487076048
  Care Compare group
• Dirne Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1689068413
  Care Compare group
• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1255756730
  Care Compare group
• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rathdrum, ID
  • NPI 1760736334
  Care Compare group
• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Post Falls, ID
  • NPI 1841696952
  Care Compare group

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dirne Health Centers Inc 82 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristin.ficklin.1@16899.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 17, 2022.

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1205587698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GOLF COURSE RD # B",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838617190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GOLF COURSE RD # B",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838617190",
            "telephone_number": "818-584-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKLIN",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Neil a Mavity
• Kendell Leigh Erickson, PT, DPT, ATC
• Kyle Ewert, DDS
• Family and Children'S Rehabilitative Services
• Mark E Feasline, MSPT
• Coralyn Marie Furr, FNP
• Donald Douglas Gandy, DO
• Susan E Hall, SLP
• Hope Lane Hansen, LMT
• Clyde Arthur Hanson, DO

• All providers in St Maries, ID
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.