JESSICA M VANDERHAM (NPI# 1285143891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285143891 |
| Entity Type | Individual |
| Full Name | JESSICA M VANDERHAM |
| Other Name | JESSICA M RIPLEY |
| Credential | CNP |
| Practice Address |
513 3rd St Sw Wagner SD 57380-9675 |
| Practice Telephone | (605) 384-3611 |
| Mailing Telephone | 6053843611 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP001277 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
513 3RD ST SW |
| City | WAGNER |
| State | SD |
| Zip Code | 57380-9675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326030974 | Wagner Community Memorial Hospital | General Acute Care Hospital | 513 3rd St Sw, Wagner, SD 57380-9675 | 2005-08-19 |
| 1457950321 | Jared Van Winkle | Physical Therapist | 513 3rd St Sw, Wagner, SD 57380-9675 | 2020-10-21 |
| 1487263513 | Cassie Lynn Nelson | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2020-07-24 |
| 1356824148 | Ryan Kocer | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2018-09-08 |
| 1013377944 | Lindsey Nedved | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2016-03-04 |
| 1609253806 | Mikaela Jean Koenig | Family Medicine | 513 3rd St Sw, Wagner, SD 57380-9675 | 2015-04-27 |
| 1427322957 | Jordan Carl Weber | Physician Assistant | 513 3rd St Sw, Wagner, SD 57380-9675 | 2012-03-01 |
| 1285964494 | Wagner Community Memorial Hospital Avera | Clinical Medical Laboratory | 513 3rd St Sw, Wagner, SD 57380-9675 | 2010-01-11 |
| 1003079419 | Uzma Amer Mian | Internal Medicine | 513 3rd St Sw, Wagner, SD 57380-9675 | 2008-07-07 |
| 1740306992 | Wagner Community Memorial Hospital | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083070593 | Carol Lee Stewart | Nurse Practitioner | 513 3rd Street Sw, Wagner, SD 57380 | 2016-01-13 |
| 1174906705 | Jerika Kirwan | Optometrist | 720 West Hwy 46, Wagner, SD 57380 | 2015-07-01 |
| 1134334766 | Drew Tyler Anderson | Chiropractor | 109 1st St Sw, Wagner, SD 57380 | 2007-05-14 |
| 1326066796 | Wagner Indian Health Service Health Center | Clinic/Center | 111 Washington Ave, Wagner, SD 57380 | 2006-07-17 |
| 1447220603 | Jay Joseph Fitzgerald | Chiropractor | 109 1st. St. Sw, Wagner, SD 57380 | 2006-01-23 |
| 1649759499 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 515 W Highway 46, Wagner, SD 57380 | 2018-08-13 |
| 1972754422 | Timothy Eric Sass | Pharmacist | 111 Washington Ave Nw, Wagner, SD 57380 | 2008-10-02 |
| 1275741878 | Patricia Ann Goulette | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380 | 2007-05-18 |
| 1073721510 | Barbara Slaba | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380 | 2007-05-18 |
| 1225246770 | Martha J Geuther | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380 | 2007-05-18 |
| Find all providers in zip 57380 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083070593 | Carol Lee Stewart | Nurse Practitioner | 513 3rd Street Sw, Wagner, SD 57380 | 2016-01-13 |
| 1487263513 | Cassie Lynn Nelson | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2020-07-24 |
| 1356824148 | Ryan Kocer | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2018-09-08 |
| 1013377944 | Lindsey Nedved | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2016-03-04 |
| 1649686080 | Melody Otte | Nurse Practitioner | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2014-07-07 |
| 1740306992 | Wagner Community Memorial Hospital | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2007-03-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JESSICA M VANDERHAM.
| 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.