KATELYN TILSTRA (NPI# 1700410768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700410768 |
| Entity Type | Individual |
| Full Name | KATELYN TILSTRA |
| Credential | MA |
| Practice Address |
6209 E Silver Maple Cir Ste 102 Sioux Falls SD 57110-7807 |
| Practice Telephone | 6057996182 |
| Practice Fax Number | 8446024652 |
| Mailing Telephone | 6057996182 |
| Mailing Fax Number | 8446024652 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC20385 | SD | Behavioral Health & Social Service Providers |
| Street Address |
6209 E SILVER MAPLE CIR STE 102 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57110-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831661438 | Lisa Jo Nafziger | Social Worker | 3216 E 10th St, Sioux Falls, SD 57110 | 2018-12-19 |
| 1700146396 | Avera Mckennan | Clinic/Center | 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 | 2012-05-17 |
| 1467517011 | Chad Jerome Hanson | Physical Therapist | 1914 S Sycamore Ave, Suite 108, Sioux Falls, SD 57110 | 2006-12-26 |
| 1407834419 | Lanpher Chiropractic | Chiropractor | 506 N Sycamore Ave, Sioux Falls, SD 57110 | 2006-01-09 |
| 1427605021 | Nicole Lindy Rasmussen | Pharmacist | Walgreens Pharmacy, 1720 South Sycamore Ave, Sioux Falls, SD 57110 | 2019-08-20 |
| 1285672246 | John Wesley Joseph Sivesind | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-06-03 |
| 1487133047 | Stephanie Preheim | Pharmacist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2018-08-14 |
| 1124109194 | Wal-mart Stores, Inc. | Technician/Technologist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-18 |
| 1407949753 | Dr. John W Sivesind, O.d., P.C. | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-01 |
| 1669499836 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-07-16 |
| Find all providers in zip 57110 | ||||
| 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 |
| 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 |
| 1043778046 | Thrive Counseling and Evaluation | Counselor | 3701 W 49th St Ste 206, Sioux Falls, SD 57106-4219 | 2019-03-08 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57110 |
Please comment or provide details below to improve the information on KATELYN TILSTRA.
| 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.