VICKI LUBBERS (NPI# 1629461520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629461520 |
Entity Type | Individual |
Full Name | VICKI LUBBERS |
Credential | CNP |
Practice Address |
401 W Glynn Dr Parkston SD 57366-9605 |
Practice Telephone | 6059283311 |
Practice Fax Number | 6059287368 |
Mailing Telephone | 6059283311 |
Mailing Fax Number | 6059287368 |
Enumeration Date | 2015-03-17 |
Last Update Date | 2015-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000937 | SD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
401 W GLYNN DR |
City | PARKSTON |
State | SD |
Zip Code | 57366-9605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982695656 | Candyce J Scherr | Physician Assistant | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2005-11-02 |
1962936856 | Paul David Berndt | Family Medicine | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2017-04-18 |
1447799846 | Heather Hisek-prunty | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2017-02-17 |
1811436264 | Rebecca Schultz | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2017-02-17 |
1841600038 | Avera At Home | In Home Supportive Care | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2014-04-28 |
1811310113 | Amanda Whittington | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2014-01-23 |
1770867715 | Lindsay Rae Weber | Nurse Practitioner | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2011-10-10 |
1912216474 | Avera St Benedict Health Center | General Acute Care Hospital | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2010-10-01 |
1184944860 | Denise A Leischner | Physical Therapist | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2010-06-04 |
1033365333 | St Benedict Health Center | Assisted Living Facility | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2008-08-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578635108 | Varney Pharmacy LLC | Pharmacy | 102 West Main, Parkston, SD 57366 | 2006-11-15 |
1821185414 | St Benedict Health Center | Assisted Living Facility | 401 W Glynn Drive, Parkston, SD 57366 | 2006-10-06 |
1215959770 | Leroy Kaufman | Optometrist | 118 E Main, Parkson, SD 57366 | 2006-07-24 |
1912990565 | Jessica Ann Wolf | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2005-08-30 |
1255896072 | Dynamic Chiropractic Prof LLC | Chiropractor | 310 E Main St, Parkston, SD 57366 | 2019-02-06 |
1730208919 | Parkston Rural Ambulance District | Ambulance | 207 W Main St, Parkston, SD 57366 | 2007-03-28 |
1922196385 | St Benedict Health Center | Skilled Nursing Facility | 401 W Glynn Drive, Parkston, SD 57366 | 2006-10-11 |
1285659466 | Parkston Chiropractic Clinic, Prof. L.L.C. | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2006-07-12 |
1508933714 | Thomas Herman Neumayr | Pharmacist | 112 S Main St, Parkston, SD 57366-0430 | 2006-11-30 |
1801917281 | Parkston Drug Inc | Durable Medical Equipment & Medical Supplies | 112 W Main St, Parkston, SD 57366-2010 | 2007-04-03 |
Find all providers in zip 57366 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770867715 | Lindsay Rae Weber | Nurse Practitioner | 401 W Glynn Dr, Parkston, SD 57366-9605 | 2011-10-10 |
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 |
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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.