MS. JENNIFER J ECKHOLT (NPI# 1730493628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730493628 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER J ECKHOLT |
| Credential | RN |
| Practice Address |
4500 Main Street East Highway 18 Pine Ridge SD 57770 |
| Mailing Address |
Box 1223 Pine Ridge SD 57770-1223 |
| Practice Telephone | 6058675856 |
| Mailing Telephone | 6058675856 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
R036270 | SD | Nursing Service Providers |
| Street Address |
4500 MAIN STREET EAST HIGHWAY 18 |
| City | PINE RIDGE |
| State | SD |
| Zip Code | 57770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881854602 | Melva A Clifford | Registered Nurse | 4500 Main Street, Pine Ridge, SD 57770 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427352 | Apollo Medflight, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770 | 2019-06-24 |
| 1740795780 | Oglala Sioux Tribe Air Rescue | Ambulance | Pine Ridge Comprehensive Hospital: 1201 E. Highway 18th, Pineridge, SD 57770 | 2017-12-13 |
| 1841546264 | Sharla Laurene Roth | Pharmacist | E Highway 18, Pine Ridge, SD 57770 | 2012-08-03 |
| 1477843282 | Keith Lincoln Keller | Family Medicine | Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 | 2011-04-13 |
| 1992024137 | Jackalyn Spry | Radiologic Technologist | 4500 E Hwy 18, Pine Ridge, SD 57770 | 2010-05-27 |
| 1063666071 | Virginia Horn | Registered Nurse | 1201 East Highway 18, Pine Ridge, SD 57770 | 2008-11-05 |
| 1487814513 | Rodney R Sahr | Registered Nurse | Hwy 18 East, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2008-06-12 |
| 1770743924 | Maneen Baker | Registered Nurse | Pine Ridge Ihs, Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| 1871752139 | Patricia Jane Broberg | Registered Nurse | Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-03 |
| 1598948242 | Carey Anne Maccarthy | Counselor | 1201 Hwy 18 East, Pine Ridge Sd, SD 57770 | 2007-12-17 |
| Find all providers in zip 57770 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770719908 | Karen L Ehlers | Registered Nurse | Box 1201, East Highway 18, Pine Ridge, SD 57770-1201 | 2009-06-02 |
| 1588978191 | Tracy Lynn Pawnee Leggins | Registered Nurse | 4500 Main Street East Highway 18, Pine Ridge, SD 57770 | 2010-08-06 |
| 1871746636 | Jodi Lias | Registered Nurse | East Hwy 18, Pine Ridge, SD 57770 | 2008-10-24 |
| 1881855385 | Patricia Ann Piper | Registered Nurse | E Hwy 18, Pine Ridge, SD 57770 | 2008-06-18 |
| 1174783609 | Linda K Shadbolt | Registered Nurse | E Hwy 18, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574195 | Lori Dunn | Registered Nurse | 1501 Detroit Ave, Hot Springs, SD 57747-2703 | 2020-06-29 |
| 1225652282 | Shawn Fanning | Registered Nurse | 7675 Mount Rushmore Rd, Rapid City, SD 57702-8760 | 2020-06-04 |
| 1518429539 | Lisa Marie Brower | Registered Nurse | 24276 166th Street, Airport Rd., Eagle Butte, SD 57625 | 2019-04-01 |
| 1619455540 | Alycia Oster | Registered Nurse | 24276 166th St Airport Rd, Eagle Butte, SD 57625 | 2018-08-02 |
| 1861999641 | Amiee L Brown | Registered Nurse | 341 Ash Street, Canistota, SD 57012 | 2018-04-09 |
| 1881109643 | Tara Nicole Shuman | Registered Nurse | 8080 Steamboat Rd, Summerset, SD 57769-8000 | 2017-12-02 |
| 1982118436 | Mellissa Jo Vig | Registered Nurse | 24276 Airport Rd. 166th Street, Eagle Butte, SD 57626 | 2017-11-20 |
| 1467068759 | Kristine Snowden | Registered Nurse | 24276 166th Street, Eagle Butte, SD 57625 | 2020-09-22 |
| 1891301420 | Leila Dougherty | Registered Nurse | 24276 166th Street Airport Road, Eagle Butte, SD 57625 | 2020-09-18 |
| 1396355913 | Tiffany Runde | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | PINE RIDGE |
| Zip Code | 57770 |
Please comment or provide details below to improve the information on MS. JENNIFER J ECKHOLT.
| 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.