Individual provider Active NPI

Kathleen L Searle, FNP

  • Family Nurse Practitioner
  • Firth, ID
National Provider Identifier
1801830112
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP657A Issued in ID
Practice address
114 S Main St
Firth, ID 83236-1168
Phone
(208) 346-6614
Fax
(208) 346-6638
NPI assigned
Jun 16, 2006
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP657A ID Primary

Addresses

Primary practice location

114 S Main St
Firth, ID 83236-1168

Mailing address

114 S Main St
Firth, ID 83236-1168
Phone (208) 346-6614

Other names 1

  • Katy L Searle Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktsearle@direct.practicefusion.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013001106 ID Practitioner - Nurse Practitioner 6002876141 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP657AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firth Medical Center PLLC Family CurrentSince Aug 1, 2012 Accepting new patients

Locations

114 S Main St
Firth, ID 83236
Phone (208) 346-6614

Interoperability endpoints

  • Direct secure messaging: ktsearle@direct.practicefusion.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1801830112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S MAIN ST",
            "city": "FIRTH",
            "state": "ID",
            "postal_code": "832361168",
            "telephone_number": "208-346-6614",
            "fax_number": "208-346-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MAIN ST",
            "city": "FIRTH",
            "state": "ID",
            "postal_code": "832361168",
            "telephone_number": "208-346-6614",
            "fax_number": "208-346-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARLE",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP657A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktsearle@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "114 S Main St",
            "city": "Firth",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832361168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "SEARLE",
            "middle_name": "L",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Firth, ID

Sources for this page

Verify at the official NPI Registry.