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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0155 | SD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
HWY 34/47 |
City | FORT THOMPSON |
State | SD |
Zip Code | 57339 |
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 Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | FORT THOMPSON |
Zip Code | 57339 |
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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.