DR. KAILTYN TAYLOR PARKS (NPI# 1144749888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144749888 |
| Entity Type | Individual |
| Full Name | DR. KAILTYN TAYLOR PARKS |
| Other Name | KAITLYN TAYLOR DANIEL |
| Credential | PHARMD |
| Practice Address |
2501 W 22nd St Sioux Falls SD 57105-1305 |
| Mailing Address |
605 E Figzel Ct Apt 204 Tea SD 57064-2524 |
| Practice Telephone | 6053363230 |
| Mailing Telephone | 6155043147 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
41655 | TN | Pharmacy Service Providers |
| Street Address |
2501 W 22ND ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840111 | Douglas D. Tassi | Optometrist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2005-06-09 |
| 1710598941 | Courtney Beth Younge | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2020-08-12 |
| 1780292243 | Matthew Scott Wiemann | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2020-07-21 |
| 1578195038 | Darcy Amanda Lowman-craig | Social Worker | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2020-02-12 |
| 1871137083 | Brandon David Hubert | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-10-30 |
| 1366083529 | Janis Rae Lindstrom | Technician | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-09-30 |
| 1528629045 | Khia Ann Warzecha | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-06-25 |
| 1053978445 | Stephani Ann Kringstad | Registered Nurse | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-05-21 |
| 1043874399 | Susan Morgan | Social Worker | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-04-23 |
| 1306306519 | Melissa Jane Suter | Social Worker | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689191363 | Ryan Anthony Waybright | Pharmacist | Po Box 5045, Sioux Falls, SD 57117-5045 | 2017-08-24 |
| 1871137083 | Brandon David Hubert | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-10-30 |
| 1902314990 | Robert Sayles | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2018-01-12 |
| 1144732041 | Kyle Dvoracek | Pharmacist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2017-10-31 |
| 1295253755 | William Coolidge | Pharmacist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2017-09-05 |
| 1801280243 | Matthew Wedeking | Pharmacist | 2503 E 54th St N, Sioux Falls, SD 57104-5563 | 2015-03-24 |
| 1386995280 | Randi A. Sayles | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2012-10-02 |
| 1649553991 | Ryan Gienapp | Pharmacist | 3620 W 41st St, Sioux Falls, SD 57106-0726 | 2011-09-23 |
| 1568611184 | Sara J Hicks | Pharmacist | 4409 E 26th St, Sioux Falls, SD 57103-4136 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699914523 | Timothy John Dodson | Pharmacist | 21633 Custer Trl, Nemo, SD 57759-7609 | 2009-02-17 |
| 1972102952 | Jessica Kotschegarow | Pharmacist | 2100 Broadway Ave, Yankton, SD 57078-1705 | 2020-10-21 |
| 1790383479 | Heather Opdahl | Pharmacist | Hy-vee Pharmacy, 1320 9th Ave Se, Watertown, SD 57201 | 2020-10-14 |
| 1043845829 | Susan Mary Burbach | Pharmacist | 525 W Cherry St, Vermillion, SD 57069-1141 | 2020-03-11 |
| 1972159101 | Harrison Charles Johnson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-13 |
| 1124510771 | Cassie M Schmidt | Pharmacist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2018-05-30 |
| 1710493507 | Karen M Richart | Pharmacist | 1730 N Garfield Ave, Pierre, SD 57501-5507 | 2017-12-16 |
| 1790297620 | Ashley Pederson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2017-11-01 |
| 1609284777 | Marcus Wong | Pharmacist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2014-08-01 |
| 1598173551 | Chelsea Schmidt | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2014-07-22 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.