DR. AMBER VICTORIA STAEDTLER


Address: 4141 5th St, Rapid City, SD 57701-6021
Phone: 6053412424

DR. AMBER VICTORIA STAEDTLER (NPI# 1497139323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497139323
Entity Type Individual
Full Name DR. AMBER VICTORIA STAEDTLER
Other Name AMBER GILLESPIE
Credential DNP AGNP-BC
Practice Address 4141 5th St
Rapid City
SD 57701-6021
Practice Telephone 6053412424
Mailing Telephone 6053412424
Enumeration Date 2015-07-09
Last Update Date 2018-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
CP000951 SD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4141 5TH ST
City RAPID CITY
State SD
Zip Code 57701-6021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033188594 Stuart Glen Rice Neurological Surgery 4141 5th St, Rapid City, SD 57701-6021 2006-03-16
1336774934 Abbie M Palmer Physical Therapist 4141 5th St, Rapid City, SD 57701-6021 2020-03-04
1356831275 Agelia Mercades Stout Audiologist 4141 5th St, Rapid City, SD 57701-6021 2018-05-16
1982123725 Jacob Lewis Hemenway Physician Assistant 4141 5th St, Rapid City, SD 57701-6021 2017-09-13
1396124178 Ian Thomas Kopriva Physical Therapist 4141 5th St, Rapid City, SD 57701-6021 2015-05-26
1427393933 Kyle L. Scharles Physical Therapist 4141 5th St, Rapid City, SD 57701-6021 2012-12-10
1154634673 Andrea Juhl Hansen Physician Assistant 4141 5th St, Rapid City, SD 57701-6021 2010-07-26
1609023209 Dawn M Ellis Physical Therapist 4141 5th St, Rapid City, SD 57701-6021 2008-08-26
1619138518 Kevin S Sobolik Physical Therapist 4141 5th St, Rapid City, SD 57701-6021 2008-06-23
1376727354 Jonathan Lee Wilson Neurological Surgery 4141 5th St, Rapid City, SD 57701-6021 2007-12-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528623345 Julie Maas Counselor 625 1/2 Main St, Suite 1, Rapid City, SD 57701 2019-05-07
1972076024 Edgewood Rapid City LLC Assisted Living Facility 4001 Derby Lane, Rapid City, SD 57701 2019-01-10
1902300247 Theresa Gibbens Speech-Language Pathologist 3301 Grandview Drive, Rapid City, SD 57701 2018-03-21
1407355423 Arielle Leigh Loveridge Chiropractor 610 East Boulevard, Suite 1, Rapid City, SD 57701 2018-02-05
1083125082 Sarah Kirschman Nurse Practitioner 353 Fairmont Boulvevard, Rapid City, SD 57701 2017-10-17
1992225239 Kelsey Elizabeth Wondercheck Dentist 717 Meade Street, Suite 200, Rapid City, SD 57701 2017-06-27
1316476088 Rhianna Wickett Physical Therapist 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 2017-06-07
1841727773 Cynthia A Gates Dietitian, Registered 2908 5th Street, Rapid City, SD 57701 2017-05-23
1811447758 Alyssa Marquardt Psychologist 433 Mt. Rushmore Road, Rapid City, SD 57701 2016-10-04
1578913232 .indian Health Service Clinic/Center 241 East Meade St, Rapid City, SD 57701 2016-06-14
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689028763 Angela M Ratzsch Nurse Practitioner 640 Flormann St, Rapid City, SD 57701-4679 2016-04-14
1225347115 Magaly Pilar Bailon Nurse Practitioner 4150 5th St, Rapid City, SD 57701-6022 2010-09-27
1083691422 Kristin June Skantze Nurse Practitioner 640 Flormann St, Rapid City, SD 57701-4679 2005-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902391287 Alison Serck Nurse Practitioner 4201 S Minnesota Ave Ste 112, Sioux Falls, SD 57105-6706 2018-06-28
1457327702 Kristine I Gaster Nurse Practitioner 1000 E. 21st St., Ste. 1200, Sioux Falls, SD 57105 2006-02-27
1275162430 Tessah Renee Bien Nurse Practitioner 403 W Broad Ave, Flandreau, SD 57028-1630 2020-04-08
1235770231 Christopher Gacke Nurse Practitioner 1301 W 18th St, Sioux Falls, SD 57105-0401 2019-10-01
1811431877 Megan Merkel Nurse Practitioner 401 9th Ave Nw, Watertown, SD 57201-1548 2016-12-10
1780134023 Andrew Jacob Murtha Nurse Practitioner 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 2016-10-11
1750730966 Brenda R. Collins Nurse Practitioner 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2016-06-08
1477919421 Elizabeth Lapp Nurse Practitioner 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 2016-01-06
1003203456 Jacklyn Ann Karli Nurse Practitioner 401 9th Ave Nw, Watertown, SD 57201-1548 2015-04-23
1346646833 Chelsey M Sundberg Nurse Practitioner 1200 S 7th Ave, Sioux Falls, SD 57105-0900 2014-11-10
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Competitor

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City RAPID CITY
Zip Code 57701

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Dataset Information

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.

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