Lakeside Aesthetics - LLC
NPI 1851873756ActiveOrganization· Nurse Practitioner, Primary Care· Sandpoint, ID
Nurse Practitioner, Primary Care in Sandpoint, Idaho, registered in NPPES in September 2018. The authorized official on file is Kelly Fuhrman, NP, Owner/Np. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851873756 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2018 |
| Last updated in NPPES | Mar 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | NP1029A | ID |
| Family Medicine | 207Q00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|