KIMBERLY HAWK EAGLE (NPI# 1467820118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467820118 |
| Entity Type | Individual |
| Full Name | KIMBERLY HAWK EAGLE |
| Credential | LPN |
| Practice Address |
10 N River Road Fort Yates ND 58538 |
| Mailing Address |
Po Box J Fort Yates ND 58538-0527 |
| Practice Telephone | 7018543831 |
| Mailing Telephone | 7018543831 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L14719 | ND | Nursing Service Providers |
| Street Address |
10 N RIVER ROAD |
| City | FORT YATES |
| State | ND |
| Zip Code | 58538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801381355 | Xtal Silk | Licensed Practical Nurse | 10 N River Road, Fort Yates, ND 58538 | 2018-06-27 |
| 1861943979 | Kelsey Mauch | Pharmacist | 10 N River Road, Fort Yates, ND 58538 | 2016-10-24 |
| 1144604158 | Brittany Azure Bearstail | Family Medicine | 10 N River Road, Fort Yates, ND 58537 | 2015-07-20 |
| 1386057800 | Abby Davis | Family Medicine | 10 N River Road, Fort Yates, ND 58538 | 2014-06-03 |
| 1861831877 | Christine E Rosheim | Nurse Practitioner | 10 N River Road, Fort Yates, ND 58538 | 2013-06-24 |
| 1235485426 | Amber Tincher | Family Medicine | 10 N River Road, Fort Yates, ND 58538 | 2012-07-25 |
| 1588826648 | Darian Richard Schaubert | Dietitian, Registered | 10 N River Road, Fort Yates, ND 58538 | 2008-06-30 |
| 1346388915 | Michael A Candreva | Optometrist | 10 N River Road, Fort Yates, ND 58538 | 2007-02-03 |
| 1861557977 | Penny Marie Wilkie | Family Medicine | 10 N River Road, Fort Yates, ND 58538 | 2006-12-27 |
| 1114085727 | Callie C Baker | Registered Nurse | 10 N River Road, Fort Yates, ND 58538 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922650753 | Kelly Reiner | Psychologist | 10 S River Rd, Fort Yates, ND 58538 | 2019-07-11 |
| 1003367665 | Sara Froelich | Licensed Practical Nurse | N 10 River Rd, Fort Yates, ND 58538 | 2016-10-19 |
| 1649694928 | Charles Swenson | Hearing Instrument Specialist | 9266 Highway 24, Fort Yates, ND 58538 | 2014-02-07 |
| 1093142416 | Jennifer Dawn Campbell | Registered Nurse | 10 N. River Road, Fort Yates, ND 58538 | 2013-09-30 |
| 1861827743 | Standing Rock Sioux Tribe | Family Medicine | 139 Proposal Ave, Standing Rock Sioux Tribe, Fort Yates, ND 58538 | 2013-09-10 |
| 1184990608 | Standing Rock Early Childhood Tracking Program | Physical Therapist | 001 Standing Rock Avenue, Ft. Yates, ND 58538 | 2012-03-29 |
| 1699046706 | Sarah Rippley | Emergency Medical Technician, Paramedic | 143 Proposal Avenue, Fort Yates, ND 58538 | 2012-01-20 |
| 1972731974 | Standing Rock Public Transportation | Secured Medical Transport (VAN) | 1341 92nd Street, Fort Yates, ND 58538 | 2009-06-29 |
| 1144430679 | Christine Grace Peterson | Dentist | Standing Rock Ihs Hospital, 00n10 North River Road, Fort Yates, ND 58538 | 2007-05-23 |
| 1528289881 | Mark Jackson | Preventive Medicine | 10 Standing Rock Agency Avenue, Fort Yates, ND 58538 | 2007-05-02 |
| Find all providers in zip 58538 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003367665 | Sara Froelich | Licensed Practical Nurse | N 10 River Rd, Fort Yates, ND 58538 | 2016-10-19 |
| 1801427190 | Dawn Lalicic | Licensed Practical Nurse | 10 North River Road, Fort Yates, ND 58538 | 2020-01-27 |
| 1801381355 | Xtal Silk | Licensed Practical Nurse | 10 N River Road, Fort Yates, ND 58538 | 2018-06-27 |
| 1649420027 | Aurelia R Snider | Licensed Practical Nurse | N10 North River Road, Fort Yates, ND 58538-0527 | 2008-09-23 |
| 1912156076 | Olivia Jean Reese | Licensed Practical Nurse | N10 North River Road, Fort Yates, ND 58538-0527 | 2008-09-15 |
| 1922256056 | Twyla J Zahn | Licensed Practical Nurse | N10 North River Road, Fort Yates, ND 58538-0527 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977983 | Brooke Thomson | Licensed Practical Nurse | 901 28th St S Ste C, Fargo, ND 58103-8745 | 2020-09-21 |
| 1891246112 | Winona Clarice Kitzan | Licensed Practical Nurse | 1141 W Owens Ave, Apt 107, Bismarck, ND 58501-1333 | 2016-10-21 |
| 1205246725 | Adriana Dean | Licensed Practical Nurse | 3560 Highway 1806, Mandan, ND 58554-8241 | 2014-05-06 |
| 1386064780 | Desiree Avedon Aaron-barber | Licensed Practical Nurse | Minot Va Cboc, Minot Air Force Base, Minot, ND 58705 | 2014-04-24 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| 1396176517 | Nicole Syverson | Licensed Practical Nurse | 521 3rd Ave, Reynold, ND 58275 | 2013-12-13 |
| 1922343631 | Sharon A Wolf | Licensed Practical Nurse | 200 Hwy 2 West, Lake Region Human Service Center, Devils Lake, ND 58301-0650 | 2012-12-06 |
| 1619583929 | Alfahnique C Teigen | Licensed Practical Nurse | 1463 I94 Business Loop E, Dickinson, ND 58601-6434 | 2020-09-22 |
| 1871115683 | Jorden Moe | Licensed Practical Nurse | 1200 Collins Ave, Mandan, ND 58554-2066 | 2020-05-14 |
| 1285253302 | Deborah England | Licensed Practical Nurse | 1200 Collins Ave, Mandan, ND 58554-2066 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT YATES |
| Zip Code | 58538 |
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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.