MANDY L WILDE


Address: 104 W Birch St, Arlington, SD 57212
Phone: 6059833283

MANDY L WILDE (NPI# 1316456908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316456908
Entity Type Individual
Full Name MANDY L WILDE
Credential CNP
Practice Address 104 W Birch St
Arlington
SD 57212
Mailing Address 300 22nd Ave
Brookings
SD 57006-2480
Practice Telephone 6059833283
Practice Fax Number 6059835112
Mailing Telephone 6056969000
Mailing Fax Number 6056968830
Enumeration Date 2017-09-26
Last Update Date 2019-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner CP001281 SD Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
300 22nd Ave, Brookings, SD 57006 6056969000
506 1st Ave Se, Watertown, SD 572014402 (605) 886-8482 6058844300

Office Location

Street Address 104 W BIRCH ST
City ARLINGTON
State SD
Zip Code 57212

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972751766 Arlington Medical Clinic Exclusive Provider Organization 104 W. Birch, Arlington, SD 57212 2008-09-04
1952598559 Arlington School District 38 1 Local Education Agency (LEA) 306 South Main, Arlington, SD 57212 2007-09-27
1609113265 Angela A. Groon Physical Therapy Assistant 120 Care Center Rd, Arlington, SD 57212 2013-01-15
1902123581 City of Brookings Clinic/Center 104 W Birch, Arlington, SD 57212 2010-04-22
1558558577 Arlington Chiropractic Clinic, P.C. Chiropractor 108 South Main Street, Arlington, SD 57212 2007-10-03
1578552899 Nelson Drug Inc Pharmacy 125 S Main St, Arlington, SD 57212 2005-10-19
1457418857 Amiel Narcelle Redfish Physician Assistant 104 W Birch, Arlington, SD 57212-0291 2007-01-03
1962559286 James Russell Heuer Chiropractor 108 S. Main Street, Arlington, SD 57212-0367 2007-01-05
1184810046 City Auditor Ambulance 202 West Elm St, Arlington, SD 57212-0379 2007-09-24
1740381631 Julie E Seas Pharmacist 125 So Main St, Arlington, SD 57212-0384 2006-09-26
Find all providers in zip 57212

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467066795 Colleen Marie Gleason Nurse Practitioner 2522 S Arlington Mill Dr Apt D, Arlington, VA 22206-4033 2020-09-03
1013526466 Deborah Anne Tenenbaum Nurse Practitioner 4000 Wilson Blvd Apt 1109, Arlington, VA 22203-4410 2020-07-30
1427519396 Fatoumata Jallow Nurse Practitioner 2304 Cromwell Dr, Arlington, TX 76018-2560 2019-03-25
1730647991 Victoria Agudah Nurse Practitioner 4621 S Cooper St Ste 131-657, Arlington, TX 76017-5866 2019-03-06
1124583679 Mary Thi Huynh Nurse Practitioner 3600 Matlock Rd Ste 100, Arlington, TX 76015-3679 2019-02-08
1467917435 Bratton Healthcare Enterprises Pllc Nurse Practitioner 7912 Joshua Tree Ct, Arlington, TX 76002-4767 2019-02-04
1548732316 Megan Francis Nurse Practitioner 1010 N Glebe Rd Ste 100, Arlington, VA 22201-5795 2018-12-18
1417424219 Tracy Julien Nurse Practitioner 801 E Abram St Ste 208, Arlington, TX 76010-1200 2018-10-30
1083190359 Nicole Leigh Charles Nurse Practitioner 6511 Steck Cv, Arlington, TN 38002-4806 2018-07-19
1902398035 Paul Ooyi Nurse Practitioner 1127 Autumn Mist Way, Arlington, TX 76005 2018-06-05
Find all providers in ARLINGTON

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City ARLINGTON
Zip Code 57212

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Dataset Information

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.

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