NIKKI BLACK BEAR (NPI# 1043862162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043862162 |
Entity Type | Individual |
Full Name | NIKKI BLACK BEAR |
Credential | LPC |
Practice Address |
1000 Health Center Road Kyle SD 57752-0540 |
Mailing Address |
Po Box 540 Kyle SD 57752-0540 |
Practice Telephone | 6054552451 |
Practice Fax Number | 6054552808 |
Mailing Telephone | 6054552451 |
Mailing Fax Number | 6054552808 |
Enumeration Date | 2019-07-09 |
Last Update Date | 2019-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC20179 | SD | Behavioral Health & Social Service Providers |
Street Address |
1000 HEALTH CENTER ROAD |
City | KYLE |
State | SD |
Zip Code | 57752-0540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043219587 | William Robert Wagner | Social Worker | 1000 Health Center Road, Kyle Health Center / Dhhs/ihs, Kyle, SD 57752 | 2005-07-18 |
1568001857 | Suzanne Curts | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2020-01-03 |
1225596745 | Margaret Brill | Pharmacist | 1000 Health Center Road, Kyle, SD 57752-0540 | 2019-03-04 |
1821522087 | Aundrea Lavoy | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2017-04-14 |
1225588734 | Jeanette Amiotte | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2016-10-07 |
1619426319 | Amanda Lea Hicks | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752 | 2016-09-23 |
1598212193 | Rachel Shipe | Pharmacist | 1000 Health Center Road, Kyle, SD 57752-0540 | 2016-09-01 |
1740514330 | Mary E Dvorak | Pharmacist | 1000 Health Center Road, Kyle, SD 57752 | 2009-09-29 |
1043450745 | Kathleen Rae Thompson | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2009-02-20 |
1285883900 | Kyle Health Center | Nursing Care | 1000 Health Center Road, Kyle, SD 57752 | 2008-09-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710504188 | Adam O Zayed | Pharmacist | 1000 Health Ctr Rd, Kyle, Sd 57752, Kyle, SD 57752 | 2020-07-01 |
1538534052 | Emmaline Elk | Registered Nurse | 100 Health Center Road, Kyle, SD 57752 | 2015-12-09 |
1841508074 | Oglala Lakota College- Head Start/ Early Head Start Program | Local Education Agency (LEA) | 490 Piya Wiconi Road, Kyle, SD 57752 | 2010-09-22 |
1629227202 | Kyle Health Center | Clinic/Center | 1000 Health Center Rd., Kyle, SD 57752 | 2008-09-18 |
1972720829 | James Edward Mcconkey | Pharmacist | 1000 Health Care Drive, Kyle, SD 57752 | 2007-04-20 |
1720117740 | Kyle Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1000 Health Center Circle, Kyle, SD 57752 | 2007-03-05 |
1427165836 | Diane M Reeves | Pharmacist | 1000 Health Service Dr., Kyle I.h.s. Out Patient Clinic, Kyle, SD 57752 | 2006-08-23 |
1548210131 | Gregory J Flaitz | Optometrist | 1000 Health Center Drive, Kyle Health Center Ihs, Kyle, SD 57752 | 2006-05-12 |
1326016874 | Barbara Jeanne Fuller | Physician Assistant | 1000 Health Cntr Dr, Kyle Health Center, Kyle, SD 57752 | 2006-03-10 |
1699759001 | Ellen Stephen Hospice and Homecare | Registered Nurse | 1 Main, Kyle, SD 57752 | 2005-11-30 |
Find all providers in zip 57752 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831718311 | Christine Savage | Counselor | 4631 Mather, Kyle, TX 78640-9215 | 2020-04-14 |
1932751625 | Kathryn Upton | Counselor | 148 Kype Cv, Kyle, TX 78640-8000 | 2019-07-12 |
1497159719 | Crystal Winn | Counselor | 1300 Dacy Ln Ste 120, Kyle, TX 78640-4194 | 2014-10-15 |
1649698390 | Gayle Vanderlaan | Counselor | 160 Quinton Cv, Kyle, TX 78640-6600 | 2014-03-31 |
1649548074 | Nadine Chapman | Counselor | 407 S Oid Hwy 81, Kyle, TX 78640 | 2011-12-13 |
1043504434 | Savannah Rae Tucker | Counselor | 1243 Cherrywood, Kyle, TX 78640-5747 | 2011-06-03 |
1215269501 | Crystal Lea Kent | Counselor | 6070 Steiner, Kyle, TX 78640-8865 | 2010-02-11 |
1932379575 | Melanie Jane Hudson | Counselor | 109 Decker, Kyle, TX 78640-5791 | 2008-03-11 |
1275611394 | Cambrey Dori Lindsay | Counselor | 104 Blanco St, Kyle, TX 78640-9353 | 2006-11-02 |
1417582826 | Nathaniel Wren Morgan | Counselor | 2810 Dacy Ln, Kyle, TX 78640-6322 | 2020-03-05 |
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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.