MINDY JO DOOM (NPI# 1306357678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306357678 |
| Entity Type | Individual |
| Full Name | MINDY JO DOOM |
| Credential | CNP |
| Practice Address |
640 Flormann St Rapid City SD 57701 |
| Mailing Address |
1480 Edinborough Dr Rapid City SD 57702-8721 |
| Practice Telephone | 6057553300 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CP001292 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
640 FLORMANN ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880796 | Kathryn A Barrett | Family Medicine | 640 Flormann St, Rapid City, SD 57701 | 2005-06-08 |
| 1699323535 | Elizabeth Emily Nooney | Nurse Practitioner | 640 Flormann St, Rapid City, SD 57701-4679 | 2019-09-03 |
| 1952811184 | Amy Kastner | Nurse Practitioner | 640 Flormann St, Rapid City, SD 57701-4679 | 2017-10-02 |
| 1417405416 | Mallory Holz | Physician Assistant | 640 Flormann St, Rapid City, SD 57701-4679 | 2016-09-19 |
| 1588014104 | Jennifer K Strasburg | Family Medicine | 640 Flormann St, Rapid City, SD 57701-4679 | 2016-06-14 |
| 1689028763 | Angela M Ratzsch | Nurse Practitioner | 640 Flormann St, Rapid City, SD 57701-4679 | 2016-04-14 |
| 1972961324 | Melissa Anne Traub | Nurse Practitioner | 640 Flormann St, Rapid City, SD 57701-4679 | 2016-02-01 |
| 1811366438 | Rapid City Regional Hospital Inc | Clinic/Center | 640 Flormann St, Rapid City, SD 57701-4679 | 2015-09-24 |
| 1871975128 | Crista Few | Family Medicine | 640 Flormann St, Rapid City, SD 57701-4679 | 2015-06-23 |
| 1821477746 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 640 Flormann St, Rapid City, SD 57701-4679 | 2015-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033752183 | Kendra C. Storm | Nurse Practitioner | 3615 5th St Ste 107, Rapid City, SD 57701-7360 | 2019-10-22 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1316494495 | Jennifer Lynn Morlang | Nurse Practitioner | 2805 5th St Ste 100, Rapid City, SD 57701-7306 | 2016-09-06 |
| 1164734646 | Rachel A Waddell | Nurse Practitioner | 307 Saint Joseph St, Rapid City, SD 57701-2828 | 2010-07-13 |
| 1831271592 | Traci L Hay | Nurse Practitioner | 1621 Sheridan Lake Rd Ste B, Rapid City, SD 57702-3432 | 2006-10-20 |
| 1881665891 | Melissa Marie Aberle | Nurse Practitioner | 3808 Sheridan Lake Rd, Rapid City, SD 57702-5394 | 2006-01-28 |
| 1972104545 | Meghan Epp | Nurse Practitioner | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2020-11-02 |
| 1073123071 | Ashley Lynne Vermeulen | Nurse Practitioner | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2020-08-04 |
| 1871139113 | Kim Marshall | Nurse Practitioner | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2019-11-21 |
| 1922643642 | Elizabeth Rose Stamper | Nurse Practitioner | 2805 5th St, Rapid City, SD 57701-6003 | 2019-11-18 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
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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.