GAIL SUE WILD (NPI# 1629016480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629016480 |
| Entity Type | Individual |
| Full Name | GAIL SUE WILD |
| Credential | CNP |
| Practice Address |
2200 13th Ave Belle Fourche SD 57717 |
| Mailing Address |
353 Fairmont Blvd Atten Medical Staff Services Rapid City SD 57701-6000 |
| Practice Telephone | 6058922701 |
| Practice Fax Number | 6056444197 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R018558 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0204 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2200 13TH AVE |
| City | BELLE FOURCHE |
| State | SD |
| Zip Code | 57717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216484 | Douglas D Everson | Family Medicine | 2200 13th Ave, Belle Fourche, SD 57717 | 2005-06-21 |
| 1841761210 | Belle Fourche Nursing and Rehab Center LLC | Skilled Nursing Facility | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2018-12-11 |
| 1487121661 | Margaret Marcine Dacar | Nurse Practitioner | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2018-10-25 |
| 1902281447 | Leah Ann Sperry | Nurse Practitioner | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2015-07-27 |
| 1548649841 | Monument Health Network, Inc. | Clinic/Center | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2015-05-20 |
| 1598144719 | Monument Health Network, Inc. | Clinic/Center | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2015-05-20 |
| 1093968315 | Regional Health Network Inc | Assisted Living Facility | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2008-10-30 |
| 1437312972 | Crystal Lynn Schmidt | Occupational Therapist | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2008-07-04 |
| 1972779957 | Monument Health Network, Inc. | Rehabilitation Unit | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2008-04-30 |
| 1841479599 | James R Wise | Physical Therapist | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2007-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824352 | Mary Violet | Speech-Language Pathologist | 29 North 6th Ave, Belle Fourche, SD 57717 | 2019-04-26 |
| 1912177874 | Heartland Home Health LLC | Home Health | 2398 5th Ave, Suite 101, Belle Fourche, SD 57717 | 2008-03-06 |
| 1144394545 | Jackson Dental Prof. LLC | Dentist | 503 Jackson St, Belle Fourche, SD 57717 | 2006-11-17 |
| 1679673842 | Daniel J Clapper | Dentist | 913 State Street, Belle Fourche, SD 57717 | 2006-09-25 |
| 1114196045 | Regional Health Physicians Inc | Clinic/Center | 1409 5th Ave, Belle Fourche, SD 57717 | 2008-02-25 |
| 1043435746 | Black Hills Optical LLP | Technician/Technologist | 1830 5th Ave, Belle Fourche, SD 57717 | 2007-04-16 |
| 1245382217 | John H Jackson | Dentist | 503 Jackson St, Belle Fourche, SD 57717 | 2007-01-18 |
| 1295039220 | Trec Badlands Prenatal To Five Head Start | Health Educator | 101 5th Ave, Belle Fourche, SD 57717-1139 | 2011-01-05 |
| 1821419417 | Angel Marie Park | Registered Nurse | 1021 Aurora St Lot 3, Belle Fourche, SD 57717-1162 | 2013-12-26 |
| 1871546820 | Shopko Stores Operating Co LLC | Pharmacy | 1 N 5th Ave, Belle Fourche, SD 57717-1172 | 2006-05-19 |
| Find all providers in zip 57717 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487121661 | Margaret Marcine Dacar | Nurse Practitioner | 2200 13th Ave, Belle Fourche, SD 57717-2215 | 2018-10-25 |
| 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 | BELLE FOURCHE |
| Zip Code | 57717 |
Please comment or provide details below to improve the information on GAIL SUE WILD.
| 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.