ANGELIA FREDERICK (NPI# 1518409887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518409887 |
| Entity Type | Individual |
| Full Name | ANGELIA FREDERICK |
| Credential | CNP |
| Practice Address |
100 Sioux Drive Chamberlain SD 57325 |
| Mailing Address |
100 Sioux Dr Chamberlain SD 57325-1742 |
| Practice Telephone | 6057305639 |
| Mailing Telephone | 6057305639 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R029072 | SD | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP001170 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 SIOUX DRIVE |
| City | CHAMBERLAIN |
| State | SD |
| Zip Code | 57325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689837726 | St Josephs Indian School | Psychologist | 1301 N Main Ave, Chamberlain, SD 57325 | 2008-07-09 |
| 1134210180 | Missouri Valley Ambulance Service | Ambulance | 306 N. Courtland St., Chamberlain, SD 57325 | 2006-09-27 |
| 1013017227 | Sanford Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 110 Beebe St, Ste 1, Chamberlain, SD 57325 | 2006-09-25 |
| 1194773622 | Cynthia L Davis | Obstetrics & Gynecology | 300 S Byron Blvd, Chamberlain, SD 57325 | 2006-05-05 |
| 1386611697 | Tyler Joe Hammell | Chiropractor | 303 N Main St, Chamberlain, SD 57325 | 2006-03-06 |
| 1750705232 | Rural Health Care, Inc. | Clinic/Center | 101 S. Front Street, Chamberlain, SD 57325-0027 | 2014-02-05 |
| 1184062234 | Sara Kay Klein | Nurse Practitioner | 101 South Front St., Chamberlain, SD 57325-0027 | 2013-06-11 |
| 1134139215 | Avera Mckennan | Family Medicine | 101 S Front Street, Chamberlain, SD 57325-0027 | 2006-08-09 |
| 1528071297 | Rural Health Care, Inc | Clinic/Center | 116 Main Street, Presho, SD 57325-0027 | 2006-08-14 |
| 1619010543 | Chamberlain Academy | Residential Treatment Facility, Emotionally Disturbed Children | 211 W 16th Ave, Chamberlain, SD 57325-0367 | 2007-02-14 |
| Find all providers in zip 57325 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184062234 | Sara Kay Klein | Nurse Practitioner | 101 South Front St., Chamberlain, SD 57325-0027 | 2013-06-11 |
| 1962496752 | Rose Marie Hoiten | Nurse Practitioner | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2005-09-07 |
| 1700330461 | Terrence Joseph Jatczak | Nurse Practitioner | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2016-08-11 |
| 1972995371 | Michelle Kutzke | Nurse Practitioner | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2015-02-23 |
| 1457670853 | Kala M Shepherd | Nurse Practitioner | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2010-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000333 | Michelle Marie Mehrer | Nurse Practitioner | 307 St Joe St, Rapid City, SD 57701-2828 | 2020-07-21 |
| 1922625854 | Mindy Thompson | Nurse Practitioner | 2501 S Louis Ave, Sioux Falls, SD 57109-4601 | 2020-06-26 |
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1972139095 | Amanda Wortman | Nurse Practitioner | 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 | 2020-03-20 |
| 1013567627 | Kasandra Wheeler | Nurse Practitioner | 1309 W 17th St Ste 1, Sioux Falls, SD 57104-4663 | 2019-09-16 |
| 1760040190 | Anna Gagliano | Nurse Practitioner | 1324 Panorama Cir, Rapid City, SD 57701-9221 | 2019-05-31 |
| 1508334772 | Sophia Lenter | Nurse Practitioner | 1325 Stewart Dr, Aberdeen, SD 57401-2682 | 2018-11-06 |
| 1457827834 | Katlyn Elizabeth Rostyne | Nurse Practitioner | 302 S Dumont Ave, Woonsocket, SD 57385 | 2018-10-23 |
| 1417422031 | Anna Bruce | Nurse Practitioner | 741 Mt View Rd, Rapid City, SD 57702-2540 | 2018-10-10 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| Find all providers with the same taxonomy | ||||
| City | CHAMBERLAIN |
| Zip Code | 57325 |
Please comment or provide details below to improve the information on ANGELIA FREDERICK.
| 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.