VANESSA KUDLOCK (NPI# 1033752258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033752258 |
| Entity Type | Individual |
| Full Name | VANESSA KUDLOCK |
| Practice Address |
1420 N 10th St Spearfish SD 57783-1532 |
| Practice Telephone | 6057178595 |
| Mailing Telephone | 6057178595 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CP001659 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1420 N 10TH ST |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427046275 | Jeffrey A Schild | Physician Assistant | 1420 N 10th St, Spearfish, SD 57783-1532 | 2005-10-06 |
| 1528671005 | Abbie Ann Styes | Clinic/Center | 1420 N 10th St, Spearfish, SD 57783-1532 | 2020-08-25 |
| 1437610656 | Jennifer Joann Karp | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783-1532 | 2019-03-29 |
| 1740757475 | Phoebe Lynn Breed | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783-1532 | 2018-10-31 |
| 1083128748 | Rachelle Cockrell | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783-1532 | 2017-11-16 |
| 1326593500 | Monument Health Home Plus, LLC | Pharmacy | 1420 N 10th St, Suite 1, Spearfish, SD 57783-1532 | 2016-08-17 |
| 1487007332 | Jeanette Lynn Carlson | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783-1532 | 2016-07-15 |
| 1922453075 | Regional Health Network Inc. | Dietitian, Registered | 1420 N 10th St, Spearfish, SD 57783 | 2016-04-26 |
| 1538522685 | Regional Health Network Inc | Durable Medical Equipment & Medical Supplies | 1420 N 10th St, Spearfish, SD 57783-1532 | 2016-04-05 |
| 1578942496 | Monument Health Network, Inc. | Clinic/Center | 1420 N 10th St, Spearfish, SD 57783-1532 | 2015-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091338 | Acupuncture of The Black Hills, LLC | Acupuncturist | 144 N. Main St., Spearfish, SD 57783 | 2016-05-19 |
| 1568695013 | Krew Enterprises, Inc Bda Comfort Keepers, 490 | Home Health | 119 East Grant Street, Ste 1, Spearfish, SD 57783 | 2009-09-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1104065317 | Heather Rae Glasford | Speech-Language Pathologist | 1107 Charles Street, Spearfish, SD 57783 | 2009-02-11 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1467670976 | Karin Wood | Counselor | 146 W. Illinois St., Ste A, Spearfish, SD 57783 | 2007-04-22 |
| 1205999315 | Black Hills Counseling Services | Counselor | 146 W Illinois Street, Suite A, Spearfish, SD 57783 | 2006-12-19 |
| 1154489920 | Brooke Melody Hvachovec Thompson | Occupational Therapist | Spearfish Regional Hospital, 1440 N Main Street, Spearfish, SD 57783 | 2006-12-05 |
| 1780758060 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 E Colorado Blvd, Spearfish, SD 57783 | 2006-11-20 |
| 1063584423 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 1420 N. 10th Street, Spearfish, SD 57783 | 2006-11-14 |
| Find all providers in zip 57783 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376195222 | Janesa Ryan | Nurse Practitioner | 1445 North Ave, Spearfish, SD 57783-1552 | 2019-07-11 |
| 1740757475 | Phoebe Lynn Breed | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783-1532 | 2018-10-31 |
| 1720323868 | Rhonda K Engel | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783-1532 | 2012-11-30 |
| 1518271394 | Lori J Fritz | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783 | 2010-08-04 |
| 1609107788 | Cathy G Sowers | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783 | 2010-01-28 |
| 1497781967 | Kerry H Greear | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783-1532 | 2006-06-24 |
| 1881668408 | Sara Gottlob | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783-1532 | 2006-02-13 |
| 1619940426 | Jill C Muth | Nurse Practitioner | 1445 North Ave, Spearfish, SD 57783 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059057 | Minx Damron Fite | Nurse Practitioner | 701 S Cloudas Ave, Sioux Falls, SD 57103-2421 | 2020-09-26 |
| 1164035945 | Channing Nordin | Nurse Practitioner | 7421 W 50th St, Sioux Falls, SD 57106-7647 | 2020-08-31 |
| 1790312478 | Spencer Robert Taylor | Nurse Practitioner | 5919 S Remington Pl Ste 200, Sioux Falls, SD 57108-5143 | 2020-03-24 |
| 1033752183 | Kendra C. Storm | Nurse Practitioner | 3615 5th St Ste 107, Rapid City, SD 57701-7360 | 2019-10-22 |
| 1639678956 | Carrie Hunt | Nurse Practitioner | 1305 West 18th Street, Emergency Department, Sioux Falls, SD 57105 | 2018-02-02 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1316456908 | Mandy L Wilde | Nurse Practitioner | 104 W Birch St, Arlington, SD 57212 | 2017-09-26 |
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1275058216 | Angela Marie Mackner | Nurse Practitioner | 201 S Lloyd St Ste W190, Aberdeen, SD 57401-4509 | 2017-08-10 |
| 1225578198 | Autumn Rae Tucker | Nurse Practitioner | 161 S, Main Street, Mission, SD 57555 | 2017-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.