MELODY OTTE (NPI# 1649686080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649686080 |
| Entity Type | Individual |
| Full Name | MELODY OTTE |
| Practice Address |
111 Washington Ave Nw Wagner SD 57380-4300 |
| Practice Telephone | 6054910644 |
| Mailing Telephone | 6053843621 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2016-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000867 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 WASHINGTON AVE NW |
| City | WAGNER |
| State | SD |
| Zip Code | 57380-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710961081 | Pedro H Ibarra-perocier | General Practice | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2005-12-01 |
| 1639650328 | Amanda Neyhart | Pharmacist | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2018-08-22 |
| 1053861096 | Judy Cuka | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2016-10-13 |
| 1154797165 | Rishi Patel | General Practice | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2015-08-13 |
| 1205234481 | Joshua Woods | Pharmacist | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2014-12-19 |
| 1437582053 | Brittany Marie Rothschadl | Physical Therapist | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2013-08-19 |
| 1568778959 | Joan Fillaus | Dental Hygienist | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2010-08-24 |
| 1588805816 | Colleen R Permann | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380-0111 | 2009-03-17 |
| 1396986626 | Craig A Noteboom | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380-0111 | 2009-03-17 |
| 1881847028 | Michelle Olson | Physician Assistant | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2008-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083070593 | Carol Lee Stewart | Nurse Practitioner | 513 3rd Street Sw, Wagner, SD 57380 | 2016-01-13 |
| 1174906705 | Jerika Kirwan | Optometrist | 720 West Hwy 46, Wagner, SD 57380 | 2015-07-01 |
| 1134334766 | Drew Tyler Anderson | Chiropractor | 109 1st St Sw, Wagner, SD 57380 | 2007-05-14 |
| 1326066796 | Wagner Indian Health Service Health Center | Clinic/Center | 111 Washington Ave, Wagner, SD 57380 | 2006-07-17 |
| 1447220603 | Jay Joseph Fitzgerald | Chiropractor | 109 1st. St. Sw, Wagner, SD 57380 | 2006-01-23 |
| 1649759499 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 515 W Highway 46, Wagner, SD 57380 | 2018-08-13 |
| 1205973732 | James Pharmacy Inc | Pharmacy | 201 Main St., Wagner, SD 57380 | 2007-02-01 |
| 1679653208 | Julie Kristina Williams | Optometrist | 111 Washington Ave, Wagner Indian Health Services, Wagner, SD 57380 | 2006-10-17 |
| 1477575827 | Mark Struble | Optometrist | 121 S Main Ave, Wagner, SD 57380 | 2006-07-24 |
| 1326060054 | Sanford Medical Center | Clinic/Center | 111 Washington St, Wagner, SD 57380 | 2006-07-24 |
| Find all providers in zip 57380 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083070593 | Carol Lee Stewart | Nurse Practitioner | 513 3rd Street Sw, Wagner, SD 57380 | 2016-01-13 |
| 1487263513 | Cassie Lynn Nelson | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2020-07-24 |
| 1356824148 | Ryan Kocer | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2018-09-08 |
| 1285143891 | Jessica M Vanderham | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2017-09-26 |
| 1013377944 | Lindsey Nedved | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2016-03-04 |
| 1740306992 | Wagner Community Memorial Hospital | Nurse Practitioner | 513 3rd St Sw, Wagner, SD 57380-9675 | 2007-03-21 |
| 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.