MRS. MARY C EWING (NPI# 1326002916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326002916 |
| Entity Type | Individual |
| Full Name | MRS. MARY C EWING |
| Credential | FNP |
| Practice Address |
3200 Canyon Lake Dr Rapid City SD 57702-8114 |
| Practice Telephone | 6053552443 |
| Practice Fax Number | 6053552403 |
| Mailing Telephone | 6053552443 |
| Mailing Fax Number | 6053552403 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2011-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000258 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5549050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841623378 | Mary Angel Ewing | Respiratory Therapist, Certified | 7280 Sheila St, Millington, TN 38053-3732 | 2013-08-20 |
| 1518919125 | Mary Ewing | Chiropractor | 2611 Forest Ave, Ste 100, Chico, CA 95928-4384 | 2006-05-16 |
| 1679834220 | Mary Kay Ewing | Occupational Therapist | 815 Nw 9th St, Suite 202, Corvallis, OR 97330-6173 | 2012-05-30 |
| 1679600647 | Mary L Ewing | Internal Medicine | 2500 S Havana St, Aurora, CO 80014-1618 | 2007-02-27 |
| 1619025210 | Mary J Ewing | Speech-Language Pathologist | 205 N Tillotson Ave, Muncie, IN 47304-3900 | 2007-01-08 |
| 1174561393 | Mary Ewing | Social Worker | 560 N Exposition St, Wichita, KS 67203-5957 | 2006-06-02 |
| 1669469219 | Mary C Ewing | Anesthesiologist Assistant | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2005-09-29 |
| Street Address |
3200 CANYON LAKE DR |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-8114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566014 | Linnea Ann Putnam | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2005-05-28 |
| 1588201404 | Rachel Paulsen | Nurse Practitioner | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2019-12-10 |
| 1376105452 | Great Plains Tribal Chairmen's Health Board | Pharmacy | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2019-06-28 |
| 1639641350 | Cindy C Jacobs | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-12-19 |
| 1205344660 | Ethan A Harris | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-01-18 |
| 1770094674 | Eric C Robinson | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-10-18 |
| 1588173322 | Alan Ross Patterson | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-09-25 |
| 1710407911 | Danielle Prudich | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-06-20 |
| 1730609868 | Jane Phillips | Dental Hygienist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-06-20 |
| 1407382666 | Dawn Badwound | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-05-10 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000333 | Michelle Marie Mehrer | Nurse Practitioner | 307 St Joe St, Rapid City, SD 57701-2828 | 2020-07-21 |
| 1760040190 | Anna Gagliano | Nurse Practitioner | 1324 Panorama Cir, Rapid City, SD 57701-9221 | 2019-05-31 |
| 1417422031 | Anna Bruce | Nurse Practitioner | 741 Mt View Rd, Rapid City, SD 57702-2540 | 2018-10-10 |
| 1306211040 | Cynthia A Stocks | Nurse Practitioner | 23892 S Rockerville Rd, Rapid City, SD 57702-7412 | 2015-12-07 |
| 1427307941 | Summer Lynn Wilcox | Nurse Practitioner | 19 Idlewood Dr, Rapid City, SD 57701-0748 | 2012-08-29 |
| 1083900310 | Olivia Bingaman | Nurse Practitioner | 1760 Centre St Ste B, Rapid City, SD 57703 | 2011-06-24 |
| 1891009973 | Kara K Stapert | Nurse Practitioner | 1600 Mountain View Rd Ste 108, Rapid City, SD 57702-4354 | 2010-08-02 |
| 1760560957 | Marla Lisette Demars | Nurse Practitioner | 5021 Ireland Pl, Rapid City, SD 57702-8327 | 2006-11-02 |
| 1356313811 | Susan A Matthew | Nurse Practitioner | 7236 Jordan Drive Suite 101, Rapid City, SD 57701 | 2006-02-07 |
| 1033189790 | Paulette A Kirby | Nurse Practitioner | 811 Columbus St, Rapid City, SD 57701-3540 | 2006-01-25 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on MRS. MARY C EWING.
| 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.