JENNIFER RISSE (NPI# 1821582990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821582990 |
Entity Type | Individual |
Full Name | JENNIFER RISSE |
Credential | CNP |
Practice Address |
102 Major Allen St Martin SD 57551-6005 |
Mailing Address |
102 Major Allen Po Box 70d Martin SD 57551-6305 |
Practice Telephone | 6056851660 |
Practice Fax Number | 6056851166 |
Mailing Telephone | 6056851660 |
Mailing Fax Number | 6056851166 |
Enumeration Date | 2018-06-21 |
Last Update Date | 2018-06-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
CP001390 | SD | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | SD BON | CP001390 | 01 |
Street Address |
102 MAJOR ALLEN ST |
City | MARTIN |
State | SD |
Zip Code | 57551-6005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437187044 | Bennett County Hospital and Nursing Home | Clinic/Center | 102 Major Allen St, Martin, SD 57551-6005 | 2006-06-30 |
1487293692 | Katherine Lyford Corey | Nurse Practitioner | 102 Major Allen St, Martin, SD 57551-6005 | 2020-01-06 |
1609347798 | James Awuah | Physician Assistant | 102 Major Allen St, Martin, SD 57551-6005 | 2018-12-16 |
1770958837 | Bennett County Rural Health Clinic | Clinic/Center | 102 Major Allen St, Martin, SD 57551-6005 | 2015-12-01 |
1386891349 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen St, Martin, SD 57551-0070 | 2008-08-21 |
1023272812 | Robert Norman Lee Corprew Jr. | Family Medicine | 102 Major Allen St, Martin, SD 57551-6005 | 2008-07-11 |
1972687192 | Horizon Health Care, Inc | Clinic/Center | 102 Major Allen St, Martin, SD 57551-0550 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386113736 | Tami Lynn Toczek | Dietitian, Registered | 22013 Old Highway 18, Martin, SD 57551 | 2018-11-15 |
1336526318 | Chad Michael Kumm | Pharmacist | 119 S 1st Ave., Martin, SD 57551 | 2015-04-29 |
1003208257 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 South 1st Avenue, Martin, SD 57551 | 2015-02-25 |
1851696843 | Cathy Sue Childress | Physician Assistant | 302 South 1st Avenue, Martin, SD 57551 | 2011-01-21 |
1801886064 | Michael John Medeck | Family Medicine | 302 1st Ave., Martin, SD 57551 | 2005-10-27 |
1417313016 | Amanda Lynn Ruhs | Nurse Practitioner | 109 Pugh Street, Martin, SD 57551 | 2016-01-12 |
1255416186 | Kirk Wilson Martin Drug & Mercantile | Pharmacy | 304 Main St, Martin, SD 57551-0050 | 2006-10-26 |
1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
1003105941 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2011-03-31 |
1295802619 | Weber Medical Services PC | Family Medicine | 109 Pugh Street, Martin, SD 57551-0370 | 2006-11-29 |
Find all providers in zip 57551 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982194049 | Theresa E. Hammerquist | Nurse Practitioner | 109 Pugh St, Martin, SD 57551-7700 | 2018-05-15 |
1629517834 | Sarah Elizabeth Huffstetler | Nurse Practitioner | 215 Hawks Rd, Suite 6, Martin, TN 38237-2708 | 2017-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912516873 | Gina Gronewold | Nurse Practitioner | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-27 |
1679132534 | Danielle Marie Hohm | Nurse Practitioner | 317 6th Ave, Brookings, SD 57006-2042 | 2019-06-13 |
1508341678 | Sarah Elizabeth Fuerstenberg | Nurse Practitioner | 521 N Main Ave, Sioux Falls, SD 57104 | 2018-09-25 |
1447745377 | Kasey Layne Kerner | Nurse Practitioner | 745 E 8th St, Winner, SD 57580-2631 | 2018-06-23 |
1184154304 | Melissa Dawn Nehl | Nurse Practitioner | 208 Main St., Mcintosh, SD 57641 | 2017-06-20 |
1760835276 | Rebecca Krivarchka | Nurse Practitioner | 1205 S Grange Ave, Suite 104, Sioux Falls, SD 57105-0407 | 2016-07-20 |
1528414620 | Stephanie Bond | Nurse Practitioner | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2016-05-06 |
1902281447 | Leah Ann Sperry | Nurse Practitioner | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2015-07-27 |
1174736664 | Margaret Ellyn Musselman | Nurse Practitioner | 210 First Street, Wanblee, SD 57577 | 2007-05-08 |
1003887571 | Roscoe Family Care Center Inc | Nurse Practitioner | 206 W Merrill Ave, Roscoe, SD 57471-0260 | 2006-01-31 |
Find all providers with the same taxonomy |
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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.