TERRI L GROVES (NPI# 1376645168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376645168 |
| Entity Type | Individual |
| Full Name | TERRI L GROVES |
| Credential | PA-C |
| Practice Address |
506 1st Ave Se Watertown SD 57201-4499 |
| Practice Telephone | 6058868482 |
| Practice Fax Number | 6058844332 |
| Mailing Telephone | 6058868482 |
| Mailing Fax Number | 6058844332 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0628 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | STATE LICENSE | 0628 | 01 |
| Street Address |
506 1ST AVE SE |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-4499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522732 | Brown Pharmacy LLC | Pharmacy | 506 1st Ave Se, Watertown, SD 57201-4402 | 2005-10-18 |
| 1831709369 | Heidi Maurine Barber | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2020-08-10 |
| 1497363113 | Allison Judeen Decurtins | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2020-07-20 |
| 1457903833 | Abby Lynne Simon | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4499 | 2019-07-15 |
| 1699327262 | Rachel Leiseth | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4499 | 2019-07-12 |
| 1336617604 | Jennifer Guest | Health Educator | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-11-05 |
| 1184192650 | Kristina R Boetel | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-11-02 |
| 1942775713 | Rebekah Ruth Storm | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-10-09 |
| 1205225661 | Abby M Gietzen | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4402 | 2015-01-22 |
| 1205230414 | Eric L. Woolley | Podiatrist | 506 1st Ave Se, Watertown, SD 57201 | 2014-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417288325 | Kathryn E Doremus | Physician Assistant | 1571 Washington St Ste 201, Watertown, NY 13601 | 2010-01-18 |
| 1275529554 | Melissa A Charlebois | Physician Assistant | 826 Washington St, Suite 204, Watertown, NY 13601-4063 | 2005-09-22 |
| 1154327161 | Milagros C Smith | Physician Assistant | 727 Washington St, Watertown, NY 13601-4031 | 2005-06-23 |
| 1811509276 | Lisa Dwello | Physician Assistant | 160 Stone St, Watertown, NY 13601-3261 | 2020-08-18 |
| 1205469186 | Robert James Pickeral Jr. | Physician Assistant | 53-59 Public Sq Ste 301, Watertown, NY 13601-2674 | 2020-02-19 |
| 1730644949 | Sarabrooke Mowery | Physician Assistant | 830 Washington St, Watertown, NY 13601-4034 | 2019-02-01 |
| 1710395058 | Promporn June Suwanabol | Physician Assistant | 123 Hospital Dr, Suite 2009, Watertown, WI 53098-3331 | 2014-07-30 |
| 1881018588 | Katherine S. Johnson | Physician Assistant | 1571 Washington St, Suite 104, Watertown, NY 13601-9304 | 2014-02-15 |
| 1356673883 | Justin James Martinson | Physician Assistant | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2010-02-09 |
| 1063691491 | Maria Noelle Alicea | Physician Assistant | 1575 Washington St, Watertown, NY 13601-9371 | 2007-11-01 |
| Find all providers in WATERTOWN | ||||
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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.