MARY ANN MARRS (NPI# 1144201708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144201708 |
| Entity Type | Individual |
| Full Name | MARY ANN MARRS |
| Credential | CNP |
| Practice Address |
7220 S Highway 16 Rapid City SD 57702-8708 |
| Mailing Address |
7220 S Highway 16 Po Box 6850 Rapid City SD 57702-8708 |
| Practice Telephone | 6053411414 |
| Practice Fax Number | 6053417062 |
| Mailing Telephone | 6053411414 |
| Mailing Fax Number | 6053417062 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2012-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R029403 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364S00000X | Clinical Nurse Specialist | SD-CNP CP000412 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD PTAN | P00427538 | 01 | |
| SD | 6827452 | 05 | |
| SD | CIGNA MEDICARE | 1254560001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376893479 | Mary Frances Marrs | Social Worker | 9079 S 234th East Ave, Broken Arrow, OK 74014-3307 | 2012-09-16 |
| Street Address |
7220 S HIGHWAY 16 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750766523 | Bryant Wieking | Physician Assistant | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2015-07-22 |
| 1538543608 | Mitch Grieve | Physician Assistant | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2015-07-17 |
| 1457600959 | Robert Cole II | Physician Assistant | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2012-08-30 |
| 1194093161 | Corey Lee Anderson | Physician Assistant | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2011-12-06 |
| 1023329919 | Heather Noelle Rice | Physician Assistant | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2010-06-25 |
| 1962633362 | Joleen Wilson | Physical Therapist | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2009-08-03 |
| 1013150374 | Zachary Scott Jager | Orthopaedic Surgery | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2009-04-15 |
| 1245481332 | Christopher P. Barrozo | Physician Assistant | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2008-10-07 |
| 1083860589 | Dale Flint | Physical Therapist | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2008-08-15 |
| 1871759522 | Steven Adam Giuseffi | Orthopaedic Surgery | 7220 S Highway 16, Black Hills Orthopedic and Spine Center, Rapid City, SD 57702-8708 | 2008-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033140454 | Sanford Health Network | Clinical Nurse Specialist | 400 N Hiawatha Drive, Canton, SD 57013 | 2006-07-05 |
| 1699255489 | Dawn Seeley | Clinical Nurse Specialist | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2018-08-21 |
| 1366837817 | Andrea Wessel | Clinical Nurse Specialist | 5019 S Western Ave, Suite 200, Sioux Falls, SD 57108-5095 | 2015-04-01 |
| 1104228410 | Lori Rose Lawson | Clinical Nurse Specialist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2014-09-17 |
| 1043487499 | Susan Fae Hohm | Clinical Nurse Specialist | 305 S State St, Aberdeen, SD 57401-4527 | 2008-05-14 |
| City | RAPID CITY |
| Zip Code | 57702 |
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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.