NIKKI BLACK BEAR


Address: 1000 Health Center Road, Kyle, SD 57752-0540
Phone: 6054552451

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC20179 SD Behavioral Health & Social Service Providers

Office Location

Street Address 1000 HEALTH CENTER ROAD
City KYLE
State SD
Zip Code 57752-0540

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
Find all providers in KYLE

Competitor

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City KYLE
Zip Code 57752

Improve Information

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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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