DANIELLE PRUDICH (NPI# 1710407911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710407911 |
| Entity Type | Individual |
| Full Name | DANIELLE PRUDICH |
| Other Name | DANIELLE SCHOCHENMAIER |
| Practice Address |
3200 Canyon Lake Dr Rapid City SD 57702-8114 |
| Mailing Address |
5231 Albert Ln Rapid City SD 57703-6479 |
| Practice Telephone | 6053552333 |
| Mailing Telephone | 6053810213 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
R036044 | SD | Nursing Service Providers |
| 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 |
| 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 |
| 1396279204 | Christin Demers | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-04-18 |
| 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 | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720565419 | Carol E Smith | Registered Nurse | 1623 Evergreen Dr, Rapid City, SD 57702-3454 | 2018-07-25 |
| 1649286444 | Kenneth Bryan Schulz | Registered Nurse | Rapid City Regional Hospital, 353 Fairmont Blvd, Rapid City, SD 57701 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285998021 | Jennifer Lea Huffman | Registered Nurse | 13085 Pony Express Dr, Piedmont, SD 57769-7105 | 2012-06-26 |
| 1063660876 | Tewanna Ronielle Johnson | Registered Nurse | 1208 New Lodge Ct, Antioch, SD 37013-3618 | 2008-09-04 |
| 1144376518 | Leslie A Rowland | Registered Nurse | 320 S 3rd Ave, Suite B, Sioux Falls, SD 57104-5048 | 2007-01-26 |
| 1780201624 | Georgitte Gilman | Registered Nurse | 24276 166th Street, Eagle Butte, SD 57625 | 2020-06-26 |
| 1396230892 | Kodi Steckelberg | Registered Nurse | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2018-06-27 |
| 1578058079 | Emily Ascher | Registered Nurse | 1323 Bia Rt. 4, Fort Thompson, SD 57339-0200 | 2018-06-27 |
| 1407307028 | Amber Schoffelman | Registered Nurse | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2016-10-18 |
| 1326377763 | Karla J Hackett | Registered Nurse | 1323 Bia Route 4, Fort Thompson, SD 57339-0200 | 2009-12-14 |
| 1235283276 | Denise Badger | Registered Nurse | 1714 Abbey Rd, Pierre, SD 57501-7805 | 2007-01-23 |
| 1982758959 | Tammy Cadman | Registered Nurse | 1714 Abbey Rd, Pierre, SD 57501-7805 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on DANIELLE PRUDICH.
| 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.