MS. BRENDA MILLS (NPI# 1225262009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225262009 |
| Entity Type | Individual |
| Full Name | MS. BRENDA MILLS |
| Credential | PHN |
| Practice Address |
3200 Canyon Lake Dr Rapid City SD 57702-8114 |
| Practice Telephone | 6035525203 |
| Practice Fax Number | 6053552530 |
| Mailing Telephone | 6035525203 |
| Mailing Fax Number | 6053552530 |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
R021724 | SD | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0140070 | 05 | |
| SD | 5549050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306331855 | Brenda Mills | Family Medicine | 10814 Saint Charles Rock Rd, Saint Ann, MO 63074-1508 | 2018-06-27 |
| 1366708646 | Brenda Q Mills | Massage Therapist | 1104 Main St, Suite #105, Vancouver, WA 98660 | 2012-04-11 |
| 1144356775 | Brenda Mills | Social Worker | 1971 W 5th Ave, Suite 2, Columbus, OH 43212-1905 | 2007-02-26 |
| Street Address |
3200 CANYON LAKE DR |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-8114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566014 | Linnea Ann Putnam | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2005-05-28 |
| 1588201404 | Rachel Paulsen | Nurse Practitioner | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2019-12-10 |
| 1376105452 | Great Plains Tribal Chairmen's Health Board | Pharmacy | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2019-06-28 |
| 1639641350 | Cindy C Jacobs | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-12-19 |
| 1205344660 | Ethan A Harris | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-01-18 |
| 1770094674 | Eric C Robinson | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-10-18 |
| 1588173322 | Alan Ross Patterson | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-09-25 |
| 1710407911 | Danielle Prudich | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-06-20 |
| 1730609868 | Jane Phillips | Dental Hygienist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-06-20 |
| 1407382666 | Dawn Badwound | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972934651 | Bryan Cowles | Registered Nurse | 111 North St, Rapid City, SD 57701-1163 | 2013-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998359 | Jill M Marshall | Registered Nurse | 24279 166th St. Airport Road, Eagle Butte, SD 57625 | 2020-06-29 |
| 1245607951 | Jessie White Hat | Registered Nurse | 901 W Bia, Rosebud, SD 57570-0400 | 2015-08-28 |
| 1558511279 | Colleen Ann Buckley | Registered Nurse | 701 E. 6th St., Mclaughlin Indian Health Center, Mclaughlin, SD 57642-0879 | 2008-09-30 |
| 1487814513 | Rodney R Sahr | Registered Nurse | Hwy 18 East, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2008-06-12 |
| 1447387758 | Shelly K Paynter | Registered Nurse | Hwy 34 and 47, Fort Thompson, SD 57339-0200 | 2007-02-27 |
| 1821616137 | Ashley Kingdon | Registered Nurse | 1143 Lincoln Ave Sw, Huron, SD 57350-3011 | 2020-07-13 |
| 1881232049 | Mahra Strand | Registered Nurse | 1323 Bia Rt 4, Fort Thompson, SD 57339 | 2019-12-18 |
| 1538604723 | Edith S. Hoff | Registered Nurse | 1323 Bia Route 4, Ft. Thompson Indian Health Service Center, Fort Thompson, SD 57339 | 2016-12-27 |
| 1053861096 | Judy Cuka | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2016-10-13 |
| 1912335951 | Deann Eastman-jansen | Registered Nurse | 400 Soldier Creek Rd, Box 400, Rosebud, SD 57570 | 2013-10-30 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on MS. BRENDA MILLS.
| 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.