CARMEN HENDRIX (NPI# 1104426337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104426337 |
Entity Type | Individual |
Full Name | CARMEN HENDRIX |
Credential | FNP-C |
Practice Address |
804 S Walnut St Freeman SD 57029-2033 |
Mailing Address |
Po Box 541 Parker SD 57053-0541 |
Practice Telephone | 6059254219 |
Mailing Telephone | 6059515064 |
Enumeration Date | 2020-10-27 |
Last Update Date | 2020-10-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP001872 | SD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
804 S WALNUT ST |
City | FREEMAN |
State | SD |
Zip Code | 57029-2033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750352811 | Dennis D Ries | Family Medicine | 804 S Walnut St, Freeman, SD 57029-0900 | 2006-01-27 |
1013443555 | Blaine Gibby | Family Medicine | 804 S Walnut St, Freeman, SD 57029-2033 | 2017-05-03 |
1831454263 | Shakil I Hafiz | Family Medicine | 804 S Walnut St, Freeman, SD 57029-2033 | 2012-07-11 |
1871884239 | Freeman Regional Health Services | Clinic/Center | 804 S Walnut St, Freeman, SD 57029-2033 | 2011-04-20 |
1508156290 | Freeman Regional Health Services | Clinic/Center | 804 S Walnut St, Freeman, SD 57029-2033 | 2011-04-14 |
1427006907 | Wellspring Wholistic Care Center | Counselor | 804 S Walnut St, Freeman, SD 57029 | 2006-05-05 |
1952372336 | Douglas C Schafer | Physician Assistant | 804 S Walnut St, Freeman, SD 57029-0900 | 2006-02-01 |
1851362354 | Rural Medical Clinics | Clinic/Center | 804 S Walnut St, Freeman, SD 57029-2033 | 2006-02-01 |
1154392249 | Kenneth T Kirton Jr. | Family Medicine | 804 S Walnut St, Freeman, SD 57029-0900 | 2006-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982967451 | Dustin Charles Randall | Nurse Practitioner | 804 S. Walnut Street, Freeman, SD 57029 | 2012-06-20 |
1881732675 | Thomas Oneal Ulmer | Chiropractor | 1116 South County Rd, Freeman, SD 57029 | 2007-02-02 |
1790835015 | Jason Aanenson, Dds, PC | Dentist | 105 E. 5th Street, Freeman, SD 57029 | 2007-01-11 |
1831206820 | Freeman Regional Health Services | Skilled Nursing Facility | 510 E 8th St, Freeman, SD 57029 | 2006-08-24 |
1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
1649247248 | City of Freeman | Ambulance | 185 E 3rd St, Box 178, Freeman, SD 57029 | 2006-03-02 |
1003818006 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th Street, Box 370, Freeman, SD 57029 | 2005-08-10 |
1922212513 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th Street, Freeman, SD 57029 | 2007-05-10 |
1871638882 | Freeman Regional Health Services | Nursing Care | 510 East 8th St, Freeman, SD 57029 | 2007-02-20 |
1063509982 | Freeman Regional Health Services | Custodial Care Facility | 510 East 8th St, Freeman, SD 57029 | 2006-10-10 |
Find all providers in zip 57029 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982967451 | Dustin Charles Randall | Nurse Practitioner | 804 S. Walnut Street, Freeman, SD 57029 | 2012-06-20 |
1457827735 | Tressa Marie Sattler | Nurse Practitioner | 510 E 8th St, Freeman, SD 57029-2086 | 2018-10-15 |
1447689484 | Tanya Schaeffer | Nurse Practitioner | 510 E 8th St, Freeman, SD 57029-2086 | 2013-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861000333 | Michelle Marie Mehrer | Nurse Practitioner | 307 St Joe St, Rapid City, SD 57701-2828 | 2020-07-21 |
1922625854 | Mindy Thompson | Nurse Practitioner | 2501 S Louis Ave, Sioux Falls, SD 57109-4601 | 2020-06-26 |
1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
1972139095 | Amanda Wortman | Nurse Practitioner | 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 | 2020-03-20 |
1013567627 | Kasandra Wheeler | Nurse Practitioner | 1309 W 17th St Ste 1, Sioux Falls, SD 57104-4663 | 2019-09-16 |
1760040190 | Anna Gagliano | Nurse Practitioner | 1324 Panorama Cir, Rapid City, SD 57701-9221 | 2019-05-31 |
1508334772 | Sophia Lenter | Nurse Practitioner | 1325 Stewart Dr, Aberdeen, SD 57401-2682 | 2018-11-06 |
1457827834 | Katlyn Elizabeth Rostyne | Nurse Practitioner | 302 S Dumont Ave, Woonsocket, SD 57385 | 2018-10-23 |
1417422031 | Anna Bruce | Nurse Practitioner | 741 Mt View Rd, Rapid City, SD 57702-2540 | 2018-10-10 |
1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
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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.