MARRYANNE ALLEN (NPI# 1528330081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528330081 |
| Entity Type | Individual |
| Full Name | MARRYANNE ALLEN |
| Credential | NP |
| Practice Address |
105 Red Cloud Ct Ellsworth Afb SD 57706-1724 |
| Practice Telephone | 8597973957 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000692 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 RED CLOUD CT |
| City | ELLSWORTH AFB |
| State | SD |
| Zip Code | 57706-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801307202 | Patrick David Jones | Physician Assistant | 28th Mdg/sggp, 2900 Doolittle Dr., Ellsworth Afb, SD 57706 | 2017-10-12 |
| 1770736522 | Amy Marie Kubal | Dietitian, Registered | 2450 Risner Drive, Ellsworth Air Force Base Health and Wellness Center, Ellsworth Afb, SD 57706 | 2008-10-24 |
| 1629576491 | Mario Luis Recupido IIi | Military Health Care Provider | 2900 Doolittle Dr, Ellsworth Afb, SD 57706 | 2018-01-26 |
| 1104337450 | Michael J Vadovsky | Physician Assistant | 2900 Doolittle Dr, Ellsworth Afb, SD 57706 | 2017-10-13 |
| 1275057754 | Adrianne Rae Littles | Military Health Care Provider | 2900 Doolittle Drive, Ellsworth Afb, SD 57706 | 2017-07-27 |
| 1780045427 | Dustin Ross Mayne | Pediatrics | 2900 Doolittle Dr, Ellsworth Afb, SD 57706 | 2016-03-08 |
| 1588993315 | Denise D Carcamo | Nurse Practitioner | 2900 Doolittle Dr, Ellsworth Afb, SD 57706 | 2009-12-07 |
| 1235363789 | Gregory Thomas Trifilo | Family Medicine | 2900 Doolittle Dr, Ellsworth Afb, SD 57706 | 2009-05-13 |
| 1982880563 | Sarah Zimmerman | Social Worker | 2900 Doolittle Dr, Ellsworth Afb, SD 57706 | 2008-01-14 |
| 1467501874 | Tasha Dee Standing Soldier | Pharmacist | 2900 Doolittle Drive, 28th Medical Group, Ellsworth Afb, SD 57706 | 2007-01-09 |
| Find all providers in zip 57706 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000333 | Michelle Marie Mehrer | Nurse Practitioner | 307 St Joe St, Rapid City, SD 57701-2828 | 2020-07-21 |
| 1922625854 | Mindy Thompson | Nurse Practitioner | 2501 S Louis Ave, Sioux Falls, SD 57109-4601 | 2020-06-26 |
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1972139095 | Amanda Wortman | Nurse Practitioner | 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 | 2020-03-20 |
| 1013567627 | Kasandra Wheeler | Nurse Practitioner | 1309 W 17th St Ste 1, Sioux Falls, SD 57104-4663 | 2019-09-16 |
| 1760040190 | Anna Gagliano | Nurse Practitioner | 1324 Panorama Cir, Rapid City, SD 57701-9221 | 2019-05-31 |
| 1508334772 | Sophia Lenter | Nurse Practitioner | 1325 Stewart Dr, Aberdeen, SD 57401-2682 | 2018-11-06 |
| 1457827834 | Katlyn Elizabeth Rostyne | Nurse Practitioner | 302 S Dumont Ave, Woonsocket, SD 57385 | 2018-10-23 |
| 1417422031 | Anna Bruce | Nurse Practitioner | 741 Mt View Rd, Rapid City, SD 57702-2540 | 2018-10-10 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| Find all providers with the same taxonomy | ||||
| City | ELLSWORTH AFB |
| Zip Code | 57706 |
Please comment or provide details below to improve the information on MARRYANNE ALLEN.
| 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.