DR. TYLER RICHARD HARRELL (NPI# 1841651825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841651825 |
| Entity Type | Individual |
| Full Name | DR. TYLER RICHARD HARRELL |
| Credential | D.P.M. |
| Practice Address |
400 22nd Ave Brookings SD 57006-2450 |
| Practice Telephone | 6056979500 |
| Mailing Telephone | 6056979500 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
232 | SD | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588147458 | Tyler Harrell | Physician Assistant | 96 Mountain View Dr, Sanford, NC 27332-1361 | 2018-09-07 |
| 1770043192 | Tyler Matthew Harrell | Student in an Organized Health Care Education/Training Program | 2195 Harrodsburg Rd, Lexington, KY 40504-3504 | 2019-03-21 |
| Street Address |
400 22ND AVE |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57006-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461804 | Janine Dawn Bassett | Nurse Practitioner | 400 22nd Ave, Brookings, SD 57006-2450 | 2005-07-19 |
| 1194325712 | Travis Bolstad | Physical Therapist | 400 22nd Ave, Brookings, SD 57006-2450 | 2020-11-01 |
| 1437638152 | Courtney Falk | Physical Therapist | 400 22nd Ave, Brookings, SD 57006-2450 | 2018-08-13 |
| 1407364391 | Sara Ruth Peterson-baker | Physical Therapist | 400 22nd Ave, Brookings, SD 57006-2450 | 2018-01-14 |
| 1174048235 | Sarah Sapp | Nurse Practitioner | 400 22nd Ave, Brookings, SD 57006-2450 | 2017-08-10 |
| 1851797948 | Jennifer Anderson | Nurse Practitioner | 400 22nd Ave, Brookings, SD 57006-2450 | 2014-11-17 |
| 1437567427 | Karley Fischer | Physician Assistant | 400 22nd Ave, Brookings, SD 57006-2497 | 2014-07-23 |
| 1548677362 | Ali Marie Koopmans | Physical Therapist | 400 22nd Ave, Brookings, SD 57006-2497 | 2014-07-14 |
| 1033525522 | Jennifer Ann Redmond | Nurse Practitioner | 400 22nd Ave, Brookings, SD 57006-2450 | 2014-07-07 |
| 1013322536 | Kirstin Sholes | Obstetrics & Gynecology | 400 22nd Ave, Brookings, SD 57006-2450 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
| 1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
| 1093157554 | Nathan William Hilbrands | Dentist | 427 8th St S, Brookings, SD 57006 | 2013-07-25 |
| 1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
| 1972800100 | Melissa Ann Klemm | Counselor | 1304 Main Ave S, Brookings, SD 57006 | 2011-02-24 |
| 1285873539 | Amy Lynn Osterberg | Counselor | 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 | 2009-02-10 |
| 1114062072 | Kendalls Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 223 6th St, Brookings, SD 57006 | 2007-02-20 |
| Find all providers in zip 57006 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689195505 | Steven T. Brantingham | Podiatrist | 500 5th St, Brookings, OR 97415-9702 | 2017-06-30 |
| 1659677318 | Foot and Ankle Clinic, PC | Podiatrist | 3405 6th St, Brookings, SD 57006-4417 | 2011-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013256106 | S F Foot Specialist, Pllc | Podiatrist | 3900 W 41st Street, Sioux Falls, SD 57106-0715 | 2013-02-08 |
| 1508093147 | Sacred Heart Health Services | Podiatrist | 409 Summit St Ste 2600, Yankton, SD 57078-3746 | 2009-06-22 |
| 1699900308 | Mid Dakota Podiatry | Podiatrist | 2410 N Main St # 1149, Mitchell, SD 57301-5037 | 2009-05-26 |
| 1912973603 | Todd N Smith | Podiatrist | Pine Ridge Ihs Hospital, Pine Ridge, SD 57770-1201 | 2006-02-23 |
| 1558342766 | Gabriel Rodriguez | Podiatrist | 3900 W 41st St, Sioux Falls, SD 57106-0715 | 2005-11-07 |
| 1033113832 | Dan P Conrad | Podiatrist | 3641 Sturgis Rd, Rapid City, SD 57702-0321 | 2005-06-09 |
| 1861874075 | Darrel Richards | Podiatrist | 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 | 2015-06-24 |
| 1205230414 | Eric L. Woolley | Podiatrist | 506 1st Ave Se, Watertown, SD 57201 | 2014-10-17 |
| 1124437595 | Ruth Ranum Moen | Podiatrist | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6029 | 2014-08-10 |
| 1285074997 | David Rettedal | Podiatrist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2013-06-26 |
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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.