MS. VICKI KENNEDY (NPI# 1578980264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578980264 |
| Entity Type | Individual |
| Full Name | MS. VICKI KENNEDY |
| Credential | LPN |
| Practice Address |
808 E 3rd St Dell Rapids SD 57022-2008 |
| Practice Telephone | 6054285291 |
| Mailing Telephone | 6054285291 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
P006343 | SD | Nursing & Custodial Care Facilities |
| Street Address |
808 E 3RD ST |
| City | DELL RAPIDS |
| State | SD |
| Zip Code | 57022-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184170730 | Mindy Stewart | Pharmacist | 1208 N Highway 77, Dell Rapids, SD 57022 | 2016-09-01 |
| 1417304544 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1208 N. Highway 77, Dell Rapids, SD 57022 | 2016-05-18 |
| 1194992412 | Ronald Roger Tibke | Physical Therapist | 702 Fairway Circle, Dell Rapids, SD 57022 | 2008-05-15 |
| 1447275979 | Mitchel Lester Rydberg | Family Medicine | 2501 W 22st, Va Medical Center, Siouxf Falls, SD 57022 | 2006-07-13 |
| 1568907442 | Alex Nachreiner | Chiropractor | 410 W 4th St, Dell Rapids, SD 57022 | 2016-12-30 |
| 1346785490 | Chirosport Dell Rapids PC | Chiropractor | 410 W 4th St, Dell Rapids, SD 57022 | 2016-12-28 |
| 1154866200 | Danika Lee Nachreiner | Chiropractor | 410 W 4th Street, Dell Rapids, SD 57022 | 2016-12-28 |
| 1891879359 | Dell Rapids School District 49-3 | Local Education Agency (LEA) | 1216 N Garfield Ave, Dell Rapids, SD 57022-1036 | 2006-10-24 |
| 1487002853 | Jill Dvorak | Registered Nurse | 1216 N Garfield Ave, Dell Rapids, SD 57022-1036 | 2016-05-26 |
| 1770931115 | Julie Wynja | Speech-Language Pathologist | 1216 N Garfield Ave, Dell Rapids, SD 57022-1036 | 2016-05-26 |
| Find all providers in zip 57022 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770968554 | Convenience Home Health-aide | Custodial Care Facility | 809 N West Ave Apt 305, Sioux Falls, SD 57104-5740 | 2015-07-22 |
| 1346495017 | Wisdom In Age LLC | Custodial Care Facility | 3704 W Main St, Rapid City, SD 57702-2139 | 2008-11-23 |
| 1841511904 | Avera St Marys | Custodial Care Facility | 801 E Sioux Ave, Pierre, SD 57501 | 2010-06-11 |
| 1982824439 | Health Management Services | Custodial Care Facility | 501 Summit St, Yankton, SD 57078-3855 | 2007-04-26 |
| City | DELL RAPIDS |
| Zip Code | 57022 |
Please comment or provide details below to improve the information on MS. VICKI KENNEDY.
| 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.