NINA BISHOP (NPI# 1477973774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477973774 |
| Entity Type | Individual |
| Full Name | NINA BISHOP |
| Practice Address |
901 4th St Nw Watertown SD 57201-1558 |
| Mailing Address |
901 4th Street Nw Watertown SD 57201 |
| Practice Telephone | 6058868471 |
| Mailing Telephone | (605) 886-8471 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 1477973774 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 W 22nd St, Sioux Falls, SD 571051554 | 6053337197 |
| Street Address |
901 4TH ST NW |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063401503 | Niccole J Mack | Physical Therapist | 901 4th St Nw, Watertown, SD 57201-1558 | 2005-10-18 |
| 1386282549 | Trisha Bea Rieffenberger | Family Medicine | 901 4th St Nw, Watertown, SD 57201-1558 | 2019-12-18 |
| 1609322049 | Julianne Marie Triplett Decker | Speech-Language Pathologist | 901 4th St Nw, Watertown, SD 57201-1558 | 2016-08-26 |
| 1134538085 | Casey Grimsrud | Physical Therapist | 901 4th St Nw, Watertown, SD 57201 | 2014-08-05 |
| 1992110340 | Mikala Simon | Physical Therapist | 901 4th St Nw, Watertown, SD 57201-1558 | 2014-06-24 |
| 1760897177 | Scott Swanson | Physical Therapist | 901 4th St Nw, Watertown, SD 57201-1558 | 2014-06-24 |
| 1851630727 | Erik Shaun Simon | Physician Assistant | 901 4th St Nw, Watertown, SD 57201-1558 | 2013-02-12 |
| 1932451028 | Sanford Clinic | Clinic/Center | 901 4th St Nw, Watertown, SD 57201-1558 | 2012-10-12 |
| 1932411733 | Edward A Dickes | Internal Medicine | 901 4th St Nw, Watertown, SD 57201-1558 | 2010-07-08 |
| 1023246915 | Kelly Ann Ming | Surgery | 901 4th St Nw, Watertown, SD 57201-1558 | 2009-06-30 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795147 | Suong Bui | Student in an Organized Health Care Education/Training Program | 141 Breen Ave, Watertown, NY 13601-7394 | 2020-09-21 |
| 1871113605 | Jairo Matthew Amarillo | Student in an Organized Health Care Education/Training Program | 203 Sycamore St Unit 2, Watertown, MA 02472-1058 | 2020-04-22 |
| 1649899592 | Tara Toloui Rahimabadi | Student in an Organized Health Care Education/Training Program | 275 Main St Apt 704, Watertown, MA 02472-4309 | 2020-04-10 |
| 1710516117 | Karla Bakke | Student in an Organized Health Care Education/Training Program | 117 Riverlawn Ave, Watertown, WI 53094-4013 | 2020-04-07 |
| 1790327963 | Michelle Blitzman | Student in an Organized Health Care Education/Training Program | 2c Locust Ln, Watertown, MA 02472-1733 | 2019-10-09 |
| 1639664634 | Angela Tutein | Student in an Organized Health Care Education/Training Program | 11a Cuba St, Watertown, MA 02472-2342 | 2018-06-22 |
| 1811310428 | Ryan Renzella | Student in an Organized Health Care Education/Training Program | 48 Prospect St, Watertown, MA 02472-3113 | 2014-02-03 |
| 1073891222 | Alexander Pantelis Tinios | Student in an Organized Health Care Education/Training Program | 163 Townline Hwy, Watertown, CT 06795 | 2011-07-21 |
| 1992316657 | Michele Kolb | Student in an Organized Health Care Education/Training Program | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2020-08-14 |
| 1518578368 | Brieanna Lewis | Student in an Organized Health Care Education/Training Program | 211 J.b. Wise Plaza, Watertown, NY 13601-1360 | 2020-08-14 |
| 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.