KIM LINDQUIST PA-C NPI 1407881196

NPI Information

NPI: 1407881196
Provider Name: KIM LINDQUIST, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1001 NOBLE ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 459-3511
Get Directions

Kim Lindquist, PA-C is a medical physician assistant in Fairbanks, AK. Kim Lindquist, PA-C NPI is 1407881196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 NOBLE ST
FAIRBANKS, AK
ZIP 99701-922
Phone: (907) 459-3511
Fax: (907) 459-3588

The NPI 1407881196 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	10002	MINNESOTA	No
2	363AM0700X	Physician Assistant	Medical	842	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MDA0061	MEDICAID	ALASKA
2	970002293	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
3	0361450001	MEDICARE NSC	ALASKA
4	MS0955255	OTHER	ALASKA	DEA
5	P86778	MEDICARE UPIN	MINNESOTA
6	450029600	MEDICAID	MINNESOTA
7	K162149	MEDICARE PIN	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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