TIFFANY REITSMA (NPI# 1275963506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275963506 |
| Entity Type | Individual |
| Full Name | TIFFANY REITSMA |
| Other Name | TIFFANY M CRISP |
| Credential | CNP |
| Practice Address |
1205 S Grange Ave Ste 104 Sioux Falls SD 57105-0407 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053288500 |
| Practice Fax Number | 6053288501 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000814 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1205 S GRANGE AVE STE 104 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245222 | David W Zeigler | Internal Medicine | 1205 S Grange Ave, Ste 510, Sioux Falls, SD 57105-0410 | 2005-06-16 |
| 1447703962 | Jennifer Lynn Newman | Nurse Practitioner | 1205 S Grange Ave, Mb2, Suite 104, Sioux Falls, SD 57105-0407 | 2016-08-02 |
| 1760835276 | Rebecca Krivarchka | Nurse Practitioner | 1205 S Grange Ave, Suite 104, Sioux Falls, SD 57105-0407 | 2016-07-20 |
| 1992181200 | Stacy Rausch | Nurse Practitioner | 1205 S Grange Ave, Ste 104, Sioux Falls, SD 57105-0407 | 2015-08-10 |
| 1487038774 | Jenilee Kludt | Pharmacist | 1205 S Grange Ave, Suite 103, Sioux Falls, SD 57105-0407 | 2015-07-16 |
| 1285027417 | Megan Bell | Genetic Counselor, MS | 1205 S Grange Ave, Ste 510, Sioux Falls, SD 57103 | 2015-03-12 |
| 1134523350 | Lori Buschena | Social Worker | 1205 S Grange Ave, Suite 510, Sioux Falls, SD 57105-0407 | 2014-10-17 |
| 1942644521 | Jenna Sommer Truckenbrod | Physician Assistant | 1205 S Grange Ave, Suite 201, Sioux Falls, SD 57105-0407 | 2013-04-25 |
| 1649525825 | Kerry R Jerke | Nurse Practitioner | 1205 S Grange Ave, Ste 201, Sioux Falls, SD 57105-0407 | 2012-07-13 |
| 1043576853 | Katie Elizabeth Larson | Pediatrics | 1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105-0407 | 2012-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1013567627 | Kasandra Wheeler | Nurse Practitioner | 1309 W 17th St Ste 1, Sioux Falls, SD 57104-4663 | 2019-09-16 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1679081350 | Abby Jo Viereck | Nurse Practitioner | 2301 E 60th St N, Sioux Falls, SD 57104-0569 | 2018-01-17 |
| 1356851661 | Alyssa Mae Welbig | Nurse Practitioner | 2315 W 57th St Ste 300, Sioux Falls, SD 57108-5163 | 2017-10-02 |
| 1023565645 | Amanda Glanzer | Nurse Practitioner | 7701 W 65th St, Sioux Falls, SD 57106-8802 | 2016-09-01 |
| 1750737318 | Steven Davis | Nurse Practitioner | 7231 W Chesapeake Ln, Sioux Falls, SD 57106-3842 | 2016-05-12 |
| 1609231943 | Jena Burgess | Nurse Practitioner | 1417 S Cliff Ave Ste 300, Sioux Falls, SD 57105-1062 | 2015-12-30 |
| 1093154213 | Jamie Kay Grant | Nurse Practitioner | 5009 S Louise Ave, Sioux Falls, SD 57108-2268 | 2013-06-20 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.