MARGARET JANE MALL (NPI# 1609975721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609975721 |
| Entity Type | Individual |
| Full Name | MARGARET JANE MALL |
| Credential | RD LN BC-ADM CDE |
| Practice Address |
1323 Bia Route 4 Fort Thompson SD 57339-0200 |
| Mailing Address |
Po Box 200 1323 Bia Route 4 Fort Thompson SD 57339-0200 |
| Practice Telephone | 6042451534 |
| Mailing Telephone | 6042451534 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
425 | MT | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE PART B | HSZ196 | 01 |
| NM | 000K3526 | 05 |
| Street Address |
1323 BIA ROUTE 4 |
| City | FORT THOMPSON |
| State | SD |
| Zip Code | 57339-0200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801814512 | Marlene A Lacayo | Dentist | 1323 Bia Route 4, Fort Thompson, SD 57339-0200 | 2006-07-18 |
| 1598308074 | Jaime Lynn Spears | Counselor | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2019-10-28 |
| 1396230892 | Kodi Steckelberg | Registered Nurse | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2018-06-27 |
| 1548790348 | Jennifer Lynn Luper-lark | Specialist/Technologist | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2017-06-14 |
| 1538604723 | Edith S. Hoff | Registered Nurse | 1323 Bia Route 4, Ft. Thompson Indian Health Service Center, Fort Thompson, SD 57339 | 2016-12-27 |
| 1932659539 | Joan Umiker | Dentist | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2016-10-06 |
| 1912453622 | Kyle Weiss | Pharmacist | 1323 Bia Route 4, Fort Thompson, SD 57339-0200 | 2016-09-01 |
| 1518315977 | Christina Marie Odens | Pharmacist | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2016-05-26 |
| 1972973899 | Beth Mcpeak | Registered Nurse | 1323 Bia Route 4, Fort Thompson, SD 57339 | 2015-10-05 |
| 1083050546 | David Alan Zimbrick | Pharmacist | 1323 Bia Route 4, Fort Thompson, SD 57339-0000 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850862 | Kimberli Mae Hastings | Registered Nurse | 125 Sd Hwy 246, Fort Thompson, SD 57339 | 2019-09-12 |
| 1225411945 | Horizon Health Care Inc | Clinic/Center | 125 Sd Hwy 249, Fort Thompson, SD 57339 | 2015-06-30 |
| 1902286081 | Stephanie Feltman | Nurse Practitioner | 1323 Bia Rd 20, Fort Thompson, SD 57339 | 2015-06-04 |
| 1902203847 | Diana Moore | Psychologist | 1323 Bia Rd. 20, Fort Thomspson, SD 57339 | 2014-11-20 |
| 1952706921 | Denis Lamonte Jones | Dentist | Denis I. Jones Dds, Phs Indian Health Center, Fort Thompson, SD 57339 | 2014-11-03 |
| 1932523644 | Ft Thompson Health Center | Clinic/Center | 1323 Bia Rte #4, Ft. Thompson, SD 57339 | 2014-02-17 |
| 1720402498 | Ft Thompson Ihs Health Center | Clinic/Center | 1323 Bia Rte 4, Ft Thompson, SD 57339 | 2014-02-14 |
| 1265764450 | Aaron Lapointe | Psychologist | 1323 Bia Route, Fort Thompson, SD 57339 | 2010-02-12 |
| 1033248059 | Fort Thompson Ihc Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 47 and Hwy 34, Fort Thompson, SD 57339 | 2007-03-05 |
| 1154480390 | Cynthia Shirley Wall | Pharmacist | Hwy 47 and 34, Ft. Thompson, SD 57339 | 2006-12-06 |
| Find all providers in zip 57339 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073695334 | Enemy Swim Day School | Nutritionist | 13525 446th Ave, Waubay, SD 57273-5715 | 2006-10-19 |
| 1215445911 | Gayle Marie Tonsager | Nutritionist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2018-01-16 |
| 1356656581 | William Solomon Wonnenberg | Nutritionist | 400 Soldier Creek Road, Rosebud, SD 57570-0400 | 2010-08-12 |
| 1629272513 | Veronica Anne Handeland | Nutritionist | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2007-06-13 |
| 1457309270 | Avera St Lukes | Nutritionist | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-04 |
| City | FORT THOMPSON |
| Zip Code | 57339 |
Please comment or provide details below to improve the information on MARGARET JANE MALL.
| 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.