KATHLEEN KAY OTTEN (NPI# 1053800201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053800201 |
| Entity Type | Individual |
| Full Name | KATHLEEN KAY OTTEN |
| Practice Address |
131 N Poplar Ave Tea SD 57064-2152 |
| Practice Telephone | 6054982702 |
| Practice Fax Number | 6054982702 |
| Mailing Telephone | 6054982700 |
| Mailing Fax Number | 6054982702 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
R018685 | SD | Nursing Service Providers |
| Street Address |
131 N POPLAR AVE |
| City | TEA |
| State | SD |
| Zip Code | 57064-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156768 | Brittney Hohenstein | Occupational Therapist | 131 N Poplar Ave, Tea, SD 57064-2152 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169797 | Adam Fjeldheim | Dentist | 605 E. Brian St., Tea, SD 57064 | 2020-06-22 |
| 1275946188 | Perspective Health Chiropractic & Wellness | Chiropractor | 910 N. Main Ave., Suite 105, Tea, SD 57064 | 2014-06-09 |
| 1508078684 | Nicholas J. Shawd D.d.s., P.C. | Dentist | 725 E. Kevin Dr., Ste. 101, Tea, SD 57064 | 2007-05-03 |
| 1518083757 | Laura Marie Koele | Chiropractor | 710 E First Street, Tea, SD 57064 | 2007-03-21 |
| 1851328751 | Reilly Pharmacy LLC | Pharmacy | 720 E. First Street, Tea, SD 57064-0487 | 2006-06-27 |
| 1518355841 | Melissa Brandner Prof. LLC | Dentist | 910 N Main Ave, Suite 101, Tea, SD 57064-0580 | 2015-01-09 |
| 1962939231 | Theresa Michelle Newcomb | Nurse Practitioner | Po Box 802, Tea, SD 57064-0802 | 2017-05-17 |
| 1710131107 | Jodi M Schnider | Speech-Language Pathologist | 200 W Charish St, Tea, SD 57064-2055 | 2008-11-11 |
| 1881772168 | Prairie Rehabilitation Services, Inc. | Durable Medical Equipment & Medical Supplies | 725 E Kevin Dr Ste 100, Tea, SD 57064-2070 | 2006-11-02 |
| 1356358030 | Nicholas Jon Shawd | Dentist | 725 E Kevin Dr, Suite 101, Tea, SD 57064-2070 | 2006-08-02 |
| Find all providers in zip 57064 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477827137 | Carla Ada Salzer | Registered Nurse | 305 S State St, Aberdeen, SD 57401-4527 | 2012-02-28 |
| 1851365563 | Linda R Hanson | Registered Nurse | 5000 S Minnesota Ave, Sioux Falls, SD 57108-2707 | 2006-02-17 |
Please comment or provide details below to improve the information on KATHLEEN KAY OTTEN.
| 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.