SANDRA D CLOOTEN (NPI# 1689762866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689762866 |
| Entity Type | Individual |
| Full Name | SANDRA D CLOOTEN |
| Other Name | SANDRA D WAGNER |
| Credential | CNP |
| Practice Address |
1445 North Ave Spearfish SD 57783 |
| Mailing Address |
353 Fairmont Blvd Atten Medical Staff Services Rapid City SD 57701-6000 |
| Practice Telephone | 6056444170 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R029388 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SD-CNP CP000350 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1445 NORTH AVE |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598754806 | Douglas John Wessel | Psychologist | 1445 North Ave, Spearfish, SD 57783-1552 | 2005-10-19 |
| 1699384214 | Natalie Louise Polei | Dietitian, Registered | 1445 North Ave, Spearfish, SD 57783-1552 | 2020-07-29 |
| 1376195222 | Janesa Ryan | Nurse Practitioner | 1445 North Ave, Spearfish, SD 57783-1552 | 2019-07-11 |
| 1912566050 | Larissa Felicia Reimann | Audiologist | 1445 North Ave, Spearfish, SD 57783-1552 | 2019-06-12 |
| 1033638291 | Katy Jean Caffee | Nurse Practitioner | 1445 North Ave, Spearfish, SD 57783-1552 | 2017-09-19 |
| 1275996621 | Roslyn Oakley | Pediatrics | 1445 North Ave, Spearfish, SD 57783-1552 | 2016-04-02 |
| 1902285828 | Monument Health Network, Inc. | Clinic/Center | 1445 North Ave, Spearfish, SD 57783-1552 | 2015-05-26 |
| 1902284581 | Monument Health Network, Inc. | Clinic/Center | 1445 North Ave, Spearfish, SD 57783-1552 | 2015-05-14 |
| 1215373741 | Wesley Reid Badger | Surgery | 1445 North Ave, Spearfish, SD 57783 | 2013-05-10 |
| 1629399464 | Tara Marie Ulmer | Pediatrics | 1445 North Ave, Spearfish, SD 57783-1552 | 2010-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091338 | Acupuncture of The Black Hills, LLC | Acupuncturist | 144 N. Main St., Spearfish, SD 57783 | 2016-05-19 |
| 1568695013 | Krew Enterprises, Inc Bda Comfort Keepers, 490 | Home Health | 119 East Grant Street, Ste 1, Spearfish, SD 57783 | 2009-09-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1104065317 | Heather Rae Glasford | Speech-Language Pathologist | 1107 Charles Street, Spearfish, SD 57783 | 2009-02-11 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1467670976 | Karin Wood | Counselor | 146 W. Illinois St., Ste A, Spearfish, SD 57783 | 2007-04-22 |
| 1205999315 | Black Hills Counseling Services | Counselor | 146 W Illinois Street, Suite A, Spearfish, SD 57783 | 2006-12-19 |
| 1154489920 | Brooke Melody Hvachovec Thompson | Occupational Therapist | Spearfish Regional Hospital, 1440 N Main Street, Spearfish, SD 57783 | 2006-12-05 |
| 1780758060 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 E Colorado Blvd, Spearfish, SD 57783 | 2006-11-20 |
| 1063584423 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 1420 N. 10th Street, Spearfish, SD 57783 | 2006-11-14 |
| Find all providers in zip 57783 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639501844 | Kenda Michelle Huseby | Nurse Practitioner | 401 Wildwood Dr, Spearfish, SD 57783-3216 | 2013-07-30 |
| 1457325276 | Verna Jean Schad | Nurse Practitioner | 115 N 7th St Ste 6, Spearfish, SD 57783-2710 | 2006-02-16 |
| 1437610656 | Jennifer Joann Karp | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783-1532 | 2019-03-29 |
| 1083128748 | Rachelle Cockrell | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783-1532 | 2017-11-16 |
| 1033638291 | Katy Jean Caffee | Nurse Practitioner | 1445 North Ave, Spearfish, SD 57783-1552 | 2017-09-19 |
| 1639628381 | James Jeffery | Nurse Practitioner | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2016-09-22 |
| 1487007332 | Jeanette Lynn Carlson | Nurse Practitioner | 1420 N 10th St, Spearfish, SD 57783-1532 | 2016-07-15 |
| 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 |
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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.