Selkirk Family Medicine & Womens Health PLLC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

NP255A Issued in ID

Legal business name

SELKIRK FAMILY MEDICINE & WOMENS HEALTH PLLC

Practice address

1215 Michigan St Ste C
Sandpoint, ID 83864-5014

Phone

(208) 263-1299

Fax

(208) 263-1557

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Cynthia W Dalsing, NP

Title

Owner

Phone

(208) 263-1299

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Women's Health Care Other name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tabitha Dawn Barron, NP

  • Women's Health Nurse Practitioner
  • Sandpoint, ID
  • NPI 1316205974
  Medicare reassignment

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1265617849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 MICHIGAN ST",
            "address_2": "SUITE C",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "83864",
            "telephone_number": "208-263-1299",
            "fax_number": "208-263-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 MICHIGAN ST STE C",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838645014",
            "telephone_number": "208-263-1299",
            "fax_number": "208-263-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELKIRK FAMILY MEDICINE & WOMENS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "DALSING",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-263-1299",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ID",
            "license": "NP255A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "1370066",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "13417641",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804142500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Women's Health Nurse Practitioner in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Women's Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.