AMBER NICOLE JANIS (NPI# 1598920738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598920738 |
| Entity Type | Individual |
| Full Name | AMBER NICOLE JANIS |
| Credential | PMHNP-BC |
| Practice Address |
E. Hwy 18, 4500 Hospital Drive Pine Ridge Indian Health Service Hospital Pine Ridge SD 57770-1201 |
| Mailing Address |
Po Box 1201 Pine Ridge Indian Health Service Hospital Pine Ridge SD 57770-1201 |
| Practice Telephone | 6058673056 |
| Mailing Telephone | 6058673056 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2011-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP3018 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
E. HWY 18, 4500 HOSPITAL DRIVE PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL |
| City | PINE RIDGE |
| State | SD |
| Zip Code | 57770-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427352 | Apollo Medflight, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770 | 2019-06-24 |
| 1740795780 | Oglala Sioux Tribe Air Rescue | Ambulance | Pine Ridge Comprehensive Hospital: 1201 E. Highway 18th, Pineridge, SD 57770 | 2017-12-13 |
| 1841546264 | Sharla Laurene Roth | Pharmacist | E Highway 18, Pine Ridge, SD 57770 | 2012-08-03 |
| 1477843282 | Keith Lincoln Keller | Family Medicine | Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 | 2011-04-13 |
| 1992024137 | Jackalyn Spry | Radiologic Technologist | 4500 E Hwy 18, Pine Ridge, SD 57770 | 2010-05-27 |
| 1063666071 | Virginia Horn | Registered Nurse | 1201 East Highway 18, Pine Ridge, SD 57770 | 2008-11-05 |
| 1881854602 | Melva A Clifford | Registered Nurse | 4500 Main Street, Pine Ridge, SD 57770 | 2008-06-16 |
| 1487814513 | Rodney R Sahr | Registered Nurse | Hwy 18 East, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2008-06-12 |
| 1770743924 | Maneen Baker | Registered Nurse | Pine Ridge Ihs, Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| 1871752139 | Patricia Jane Broberg | Registered Nurse | Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-03 |
| Find all providers in zip 57770 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037099 | Progressing Forward Medical and Mental Health Services LLC | Nurse Practitioner | 611 Old Agency Dr Unit 134b, Sisseton, SD 57262-7224 | 2019-05-01 |
| 1962858985 | Lac Castor Wellness, LLC | Nurse Practitioner | 3213 W Main St, Rapid City, SD 57702-2314 | 2016-05-09 |
| 1790102549 | Tracy V Romey | Nurse Practitioner | 636 St. Anne St., Ste. 100, Rapid City, SD 57701 | 2014-03-18 |
| 1710266473 | Brenda Lenae Johnson | Nurse Practitioner | 306 4th St, Suite G, Brookings, SD 57006-1940 | 2011-08-12 |
| 1043444672 | Katherine Kilchmann Baltazar | Nurse Practitioner | 24276 166th Airport Rd, Eagle Butte, SD 57625-0476 | 2009-05-11 |
| 1700065208 | Marylou Mylant | Nurse Practitioner | 1011 11th St, Rapid City, SD 57701-3530 | 2007-10-31 |
| 1518021260 | Donna M. Linke | Nurse Practitioner | 39832 233rd St, Woonsocket, SD 57385-6522 | 2006-12-20 |
| 1437155132 | Family Institute of The Midwest | Nurse Practitioner | 520 W 22nd St, Sioux Falls, SD 57105-1702 | 2005-06-27 |
| 1790393825 | Anders Peterson | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2020-07-15 |
| 1609494483 | Hannah Otten | Nurse Practitioner | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | PINE RIDGE |
| Zip Code | 57770 |
Please comment or provide details below to improve the information on AMBER NICOLE JANIS.
| 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.