MRS. KELLIE R THIESSEN


Address: 1201 E. Hwy 18, Pine Ridge, SD 57770
Phone: 6058673003

MRS. KELLIE R THIESSEN (NPI# 1346213758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346213758
Entity Type Individual
Full Name MRS. KELLIE R THIESSEN
Credential CNM,MS
Practice Address 1201 E. Hwy 18
Pine Ridge
SD 57770
Mailing Address Po Box 3055
Pine Ridge
SD 57770-3055
Practice Telephone 6058673003
Mailing Telephone 6058672052
Enumeration Date 2006-02-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367A00000X Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SD CERTIFIED NURSE MIDWIFE 036 01

Office Location

Street Address 1201 E. HWY 18
City PINE RIDGE
State SD
Zip Code 57770

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235591413 Shannon Wolfinbarger Advanced Practice Midwife 1201 E. Hwy 18, Pine Ridge, SD 57770 2016-03-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508427352 Apollo Medflight, LLC Ambulance 12 Airport Rd, Pine Ridge, SD 57770 2019-06-24
1740795780 Oglala Sioux Tribe Air Rescue Ambulance Pine Ridge Comprehensive Hospital: 1201 E. Highway 18th, Pineridge, SD 57770 2017-12-13
1841546264 Sharla Laurene Roth Pharmacist E Highway 18, Pine Ridge, SD 57770 2012-08-03
1477843282 Keith Lincoln Keller Family Medicine Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 2011-04-13
1992024137 Jackalyn Spry Radiologic Technologist 4500 E Hwy 18, Pine Ridge, SD 57770 2010-05-27
1063666071 Virginia Horn Registered Nurse 1201 East Highway 18, Pine Ridge, SD 57770 2008-11-05
1881854602 Melva A Clifford Registered Nurse 4500 Main Street, Pine Ridge, SD 57770 2008-06-16
1487814513 Rodney R Sahr Registered Nurse Hwy 18 East, Pine Ridge Hospital, Pine Ridge, SD 57770 2008-06-12
1770743924 Maneen Baker Registered Nurse Pine Ridge Ihs, Us Hwy 18, Pine Ridge, SD 57770 2008-06-11
1871752139 Patricia Jane Broberg Registered Nurse Us Hwy 18, Pine Ridge, SD 57770 2008-06-03
Find all providers in zip 57770

Taxonomy Information

Taxonomy Code 367A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Advanced Practice Midwife

Taxonomy Definition

Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154398170 Barbara Mellor Advanced Practice Midwife 1201 E Hwy 18, Pine Ridge Hospital, Pine Ridge, SD 57770-1201 2006-03-08
1235591413 Shannon Wolfinbarger Advanced Practice Midwife 1201 E. Hwy 18, Pine Ridge, SD 57770 2016-03-25
1518285378 Barbara Gale Hosei Advanced Practice Midwife 1201 East Highway 18, Pine Ridge, SD 57770 2010-05-04
1568625531 Amanda Mytt Hill Advanced Practice Midwife East Highway 18, Pine Ridge, SD 57770-1201 2008-07-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124599519 Jennifer Nicole Bonner Advanced Practice Midwife 7236 Jordan Dr Ste 100a, Rapid City, SD 57702-8740 2018-12-10
1588935225 Laughing Waters Homebirth Midwifery Advanced Practice Midwife 1417 S Severn Ln, Sioux Falls, SD 57106-3320 2012-01-25
1730483009 Debbie K Hayden-miller Advanced Practice Midwife 625 S Berretta Ln, Sioux Falls, SD 57106-7826 2010-12-31
1467409011 Karen W Pettigrew Advanced Practice Midwife 504 E Monroe St, Rapid City, SD 57701-1400 2006-05-28
1750358354 Suzanne Marie England Advanced Practice Midwife 1000 Health Care Way, Wanblee, SD 57577 2006-03-02
1952308397 Courtney-maree Heynen Advanced Practice Midwife 1417 S. Cliff Ave., Ste. 401, Sioux Falls, SD 57105-1064 2005-06-30
1700497336 Abby Mae Walton Advanced Practice Midwife 1500 W 22nd St Ste 301, Sioux Falls, SD 57105-1503 2020-08-17
1235697806 Hannah Sammons Advanced Practice Midwife 1500 W 22nd St Ste 301, Sioux Falls, SD 57105-1503 2019-03-03
1326595554 Chelsea Lynn Iversen Advanced Practice Midwife 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2016-09-06
1285007773 Erin E Vande Lune Advanced Practice Midwife 1500 W 22nd St, Suite 301, Sioux Falls, SD 57105-7702 2015-11-05
Find all providers with the same taxonomy

Competitor

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City PINE RIDGE
Zip Code 57770

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Dataset Information

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.

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