SUSAN LEDDY (NPI# 1447215207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447215207 |
| Entity Type | Individual |
| Full Name | SUSAN LEDDY |
| Credential | C.N.P |
| Practice Address |
409 4th St Wilmot SD 57279-2214 |
| Mailing Address |
14346 Sd Highway 15 Milbank SD 57252-5415 |
| Practice Telephone | 6059384351 |
| Practice Fax Number | 6059384351 |
| Mailing Telephone | 6054324790 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2009-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R023955 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA # | ML0251809 | 01 | |
| SD | NURSE'S LICENSE | R023955 | 01 |
| Street Address |
409 4TH ST |
| City | WILMOT |
| State | SD |
| Zip Code | 57279-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700925153 | Coteau Des Prairies Hospital, Inc | Clinic/Center | 409 4th St, Wilmot, SD 57279-2214 | 2007-02-05 |
| 1710033220 | Coteau Des Prairies Hospital, Inc. | Clinic/Center | 409 4th St, Wilmot, SD 57279-2214 | 2007-01-26 |
| 1770680787 | Avera Mckennan | Nurse Practitioner | 409 4th St, Wilmot, SD 57279-2214 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699014910 | Amber Marie Herr | Physical Therapy Assistant | 501 4th St., Wilmot, SD 57279 | 2013-02-06 |
| 1255527594 | Wilmot School District 54-7 | Local Education Agency (LEA) | 800 Ordway St, Wilmot, SD 57279 | 2007-09-20 |
| 1770586604 | Wilmot Care Center | Skilled Nursing Facility | 501 4th St, Wilmot, SD 57279-2232 | 2005-05-24 |
| 1639277577 | Wilmot Care Center | Assisted Living Facility | 501 4th St, Wilmot, SD 57279-2232 | 2006-09-21 |
| 1487752424 | Wilmot Care Center | Skilled Nursing Facility | 501 4th St, Wilmot, SD 57279-2232 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801361894 | Venessa Schrader | Licensed Practical Nurse | 211 Massillon St, Wilmot, OH 44689-9618 | 2018-10-05 |
| 1235653692 | Dustin Tyler Strickland | Nurse Practitioner | 203 Mccombs St, Wilmot, AR 71676-8800 | 2017-07-27 |
| 1790140564 | Mainline Health Systems, Inc | Clinic/Center | 2764 Hwy 165 S, Wilmot, AR 71676 | 2015-12-22 |
| 1699014910 | Amber Marie Herr | Physical Therapy Assistant | 501 4th St., Wilmot, SD 57279 | 2013-02-06 |
| 1093019739 | Donald Ralph Single | Emergency Medicine | 16 Mountain Overlook, Wilmot, NH 03287 | 2011-01-10 |
| 1639358500 | Wilmot Union High School District | Local Education Agency (LEA) | 11112 308th Ave, Wilmot, WI 53192 | 2007-10-29 |
| 1255527594 | Wilmot School District 54-7 | Local Education Agency (LEA) | 800 Ordway St, Wilmot, SD 57279 | 2007-09-20 |
| 1568537942 | Genter Healthcare, Inc. | Respiratory Therapist, Certified | 28 Ridgewood Common, Wilmot, NH 03287 | 2006-11-21 |
| 1952314262 | Michael D Mcdaniels | Dentist | 203 Mccomb St, Wilmot, AR 71676 | 2006-08-15 |
| 1558305201 | Wilmot Fire & Rescue, Inc. | Ambulance | 204 Mill Street, Wilmot, OH 44689 | 2006-06-15 |
| Find all providers in WILMOT | ||||
| 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 |
|---|---|---|---|---|
| 1770680787 | Avera Mckennan | Nurse Practitioner | 409 4th St, Wilmot, SD 57279-2214 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059057 | Minx Damron Fite | Nurse Practitioner | 701 S Cloudas Ave, Sioux Falls, SD 57103-2421 | 2020-09-26 |
| 1164035945 | Channing Nordin | Nurse Practitioner | 7421 W 50th St, Sioux Falls, SD 57106-7647 | 2020-08-31 |
| 1790312478 | Spencer Robert Taylor | Nurse Practitioner | 5919 S Remington Pl Ste 200, Sioux Falls, SD 57108-5143 | 2020-03-24 |
| 1033752183 | Kendra C. Storm | Nurse Practitioner | 3615 5th St Ste 107, Rapid City, SD 57701-7360 | 2019-10-22 |
| 1639678956 | Carrie Hunt | Nurse Practitioner | 1305 West 18th Street, Emergency Department, Sioux Falls, SD 57105 | 2018-02-02 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1316456908 | Mandy L Wilde | Nurse Practitioner | 104 W Birch St, Arlington, SD 57212 | 2017-09-26 |
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1275058216 | Angela Marie Mackner | Nurse Practitioner | 201 S Lloyd St Ste W190, Aberdeen, SD 57401-4509 | 2017-08-10 |
| 1225578198 | Autumn Rae Tucker | Nurse Practitioner | 161 S, Main Street, Mission, SD 57555 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
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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.