REBECCA L KNUDSON (NPI# 1487627097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487627097 |
| Entity Type | Individual |
| Full Name | REBECCA L KNUDSON |
| Other Name | REBECCA L MENNING |
| Credential | MD |
| Practice Address |
1420 N 10th Stst Queen City Regional Medical Clinic Spearfish SD 57783 |
| Mailing Address |
353 Fairmont Blvd Atten Medical Staff Services Rapid City SD 57701-6000 |
| Practice Telephone | 6056428414 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2013-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5715 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5606960 | 05 |
| Street Address |
1420 N 10TH STST QUEEN CITY REGIONAL MEDICAL CLINIC |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091338 | Acupuncture of The Black Hills, LLC | Acupuncturist | 144 N. Main St., Spearfish, SD 57783 | 2016-05-19 |
| 1568695013 | Krew Enterprises, Inc Bda Comfort Keepers, 490 | Home Health | 119 East Grant Street, Ste 1, Spearfish, SD 57783 | 2009-09-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1104065317 | Heather Rae Glasford | Speech-Language Pathologist | 1107 Charles Street, Spearfish, SD 57783 | 2009-02-11 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1467670976 | Karin Wood | Counselor | 146 W. Illinois St., Ste A, Spearfish, SD 57783 | 2007-04-22 |
| 1205999315 | Black Hills Counseling Services | Counselor | 146 W Illinois Street, Suite A, Spearfish, SD 57783 | 2006-12-19 |
| 1154489920 | Brooke Melody Hvachovec Thompson | Occupational Therapist | Spearfish Regional Hospital, 1440 N Main Street, Spearfish, SD 57783 | 2006-12-05 |
| 1780758060 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 E Colorado Blvd, Spearfish, SD 57783 | 2006-11-20 |
| 1063584423 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 1420 N. 10th Street, Spearfish, SD 57783 | 2006-11-14 |
| Find all providers in zip 57783 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699198960 | Barry Allen Smith | Family Medicine | 736 Elk Run Rd, Spearfish, SD 57783-8023 | 2014-01-22 |
| 1679909998 | James Jackson Hendricks | Family Medicine | 313 Oak Ridge Rd, Spearfish, SD 57783-8660 | 2013-09-18 |
| 1144523614 | Ruth M. Mclaughlin | Family Medicine | 11567 Mitchell Ln, Spearfish, SD 57783-3306 | 2010-12-06 |
| 1902834914 | Wayne Julius Anderson | Family Medicine | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2006-06-29 |
| 1366482135 | Christi Childers | Family Medicine | 120 E Michigan St, Suite 200, Spearfish, SD 57783-1506 | 2006-06-08 |
| 1699295444 | Joshua Told | Family Medicine | 1440 N Main St, Spearfish, SD 57783-1505 | 2017-06-22 |
| 1003234097 | Drew Moss | Family Medicine | 1420 N 10th St, Spearfish, SD 57783-1532 | 2014-04-07 |
| 1376988147 | Heath Eggleston | Family Medicine | 1420 N 10th St, Spearfish, SD 57783-1532 | 2013-05-06 |
| 1316201304 | Daniel Berens | Family Medicine | 1420 N 10th St, Spearfish, SD 57783-1532 | 2012-06-25 |
| 1124345103 | Kelsey Raye Nylander | Family Medicine | 1420 N 10th St, Spearfish, SD 57783 | 2010-04-29 |
| Find all providers in SPEARFISH | ||||
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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.