BOYD A BRISTOW (NPI# 1457437915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457437915 |
| Entity Type | Individual |
| Full Name | BOYD A BRISTOW |
| Credential | LPC-MH,QMHP,LMFT,MA |
| Practice Address |
523 N Duluth Ave Sioux Falls SD 57104-2714 |
| Practice Telephone | 6059883775 |
| Practice Fax Number | 6059883747 |
| Mailing Telephone | 6059883775 |
| Mailing Fax Number | 6059883747 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-MH 2052 | SD | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | LMFT 1170 | SD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | BCBS | 4998932 | 01 |
| SD | 6575340 | 05 |
| Street Address |
523 N DULUTH AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932114469 | Catholic Family Services | Counselor | 523 N Duluth Ave, Sioux Falls, SD 57104-2714 | 2006-07-31 |
| 1497031371 | Christina Renee Vander Woude | Social Worker | 523 N Duluth Ave, Sioux Falls, SD 57104-2714 | 2011-10-24 |
| 1972689446 | Machelle Lynn Kocer | Social Worker | 523 N Duluth Ave, Sioux Falls, SD 57104-2714 | 2006-10-27 |
| 1568548048 | Mary Carole Curran | Psychologist | 523 N Duluth Ave, Sioux Falls, SD 57104-2714 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1093325706 | Lacey A. Leichtnam | Counselor | 4300 S Louise Ave Ste 201, Sioux Falls, SD 57106-3124 | 2020-08-06 |
| 1780293159 | Kristine M Dejaeghere-tillett | Counselor | 2528 S Center Ave, Sioux Falls, SD 57105-4814 | 2020-07-30 |
| 1154944759 | Jenna Lynn Kvaale | Counselor | 800 E Tomar Rd, Sioux Falls, SD 57105-7007 | 2020-05-19 |
| 1700410768 | Katelyn Tilstra | Counselor | 6209 E Silver Maple Cir Ste 102, Sioux Falls, SD 57110-7807 | 2020-02-28 |
| 1336772599 | Joseph Collin Welch | Counselor | 309 W 43rd St Ste 101, Sioux Falls, SD 57105-6805 | 2020-02-17 |
| 1336771252 | Emily Gislason LLC | Counselor | 3101 W 41st St Ste 201b, Sioux Falls, SD 57105-8144 | 2020-02-08 |
| 1467082446 | Barbra Lea Devos | Counselor | 408 W Lotta St, Sioux Falls, SD 57105-6809 | 2020-01-19 |
| 1245884238 | Hope Elizabeth Johnson | Counselor | 3220 W 57th St Ste 100a, Sioux Falls, SD 57108-3146 | 2019-07-29 |
| 1114580842 | Alexis Meyer | Counselor | 330 N Main Ave Ste 301c, Sioux Falls, SD 57104-6034 | 2019-04-18 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57104 |
Please comment or provide details below to improve the information on BOYD A BRISTOW.
| 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.