RENETTE LYNNE KROUPA


Address: Hwy 34/47, Fort Thompson, SD 57339
Phone: 6052452285

RENETTE LYNNE KROUPA (NPI# 1760493811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760493811
Entity Type Individual
Full Name RENETTE LYNNE KROUPA
Credential PA-C
Practice Address Hwy 34/47
Fort Thompson
SD 57339
Mailing Address 36980 239th St
White Lake
SD 57383-5013
Practice Telephone 6052452285
Mailing Telephone 6052492525
Enumeration Date 2006-08-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0155 SD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address HWY 34/47
City FORT THOMPSON
State SD
Zip Code 57339

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942850862 Kimberli Mae Hastings Registered Nurse 125 Sd Hwy 246, Fort Thompson, SD 57339 2019-09-12
1225411945 Horizon Health Care Inc Clinic/Center 125 Sd Hwy 249, Fort Thompson, SD 57339 2015-06-30
1902286081 Stephanie Feltman Nurse Practitioner 1323 Bia Rd 20, Fort Thompson, SD 57339 2015-06-04
1902203847 Diana Moore Psychologist 1323 Bia Rd. 20, Fort Thomspson, SD 57339 2014-11-20
1952706921 Denis Lamonte Jones Dentist Denis I. Jones Dds, Phs Indian Health Center, Fort Thompson, SD 57339 2014-11-03
1932523644 Ft Thompson Health Center Clinic/Center 1323 Bia Rte #4, Ft. Thompson, SD 57339 2014-02-17
1720402498 Ft Thompson Ihs Health Center Clinic/Center 1323 Bia Rte 4, Ft Thompson, SD 57339 2014-02-14
1265764450 Aaron Lapointe Psychologist 1323 Bia Route, Fort Thompson, SD 57339 2010-02-12
1033248059 Fort Thompson Ihc Clinic Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Hwy 47 and Hwy 34, Fort Thompson, SD 57339 2007-03-05
1154480390 Cynthia Shirley Wall Pharmacist Hwy 47 and 34, Ft. Thompson, SD 57339 2006-12-06
Find all providers in zip 57339

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831595545 Kayla Weisbeck Physician Assistant 200 E Havens Ave, Mitchell, SD 57301-0432 2014-11-06
1306269287 Prairie Community Health Inc. Physician Assistant 223 A Street, Dupree, SD 57623-9999 2014-01-28
1528392941 Marilyn Margaret Roberts Physician Assistant Crhc, 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 2009-10-01
1255516324 Harding County Healthcare LLC Physician Assistant 209 Ramsland Street, Buffalo, SD 57720-0182 2008-01-08
1790972719 Angela Blane Chambers Physician Assistant 161 S Main St., Mission, SD 57555 2007-10-03
1649348590 Richard Dunn Physician Assistant Pine Ridge Hospital East Highway 18, Pine Ridge, SD 57770-1201 2006-11-30
1649368960 Gary Neil Wurgler Physician Assistant 47226 S Rhonda Ave, Sioux Falls, SD 57108 2006-10-11
1558464446 Douglas County Memorial Hospital Physician Assistant 301 Main Street, Stickney, SD 57375-0014 2006-09-06
1356375992 Ruth M Thomas Physician Assistant Soldier Creek Road,box 400, Rosebud Indian Health Service Hospital, Rosebud, SD 57570-0400 2006-07-10
1336196310 Leola Mae Lyon Physician Assistant 809 Jackson St, Burke, SD 57523-2065 2006-05-27
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Competitor

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City FORT THOMPSON
Zip Code 57339

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Dataset Information

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.

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