BRENDA LYNN VANDEWATER (NPI# 1669847067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669847067 |
Entity Type | Individual |
Full Name | BRENDA LYNN VANDEWATER |
Other Name | BRENDA LYNN MCCLURE |
Practice Address |
1201 Highway 71 S Hot Springs SD 57747-8800 |
Mailing Address |
12349 Erskine Rd Hot Springs SD 57747-7508 |
Practice Telephone | 6057458910 |
Practice Fax Number | 6057457654 |
Mailing Telephone | 6057458910 |
Mailing Fax Number | 6057457654 |
Enumeration Date | 2015-12-10 |
Last Update Date | 2015-12-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP001015 | SD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1201 HIGHWAY 71 S |
City | HOT SPRINGS |
State | SD |
Zip Code | 57747-8800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164943098 | Jamie Paul Slettedahl | Nurse Practitioner | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2017-06-30 |
1740700723 | Andrew Yantes | Nurse Practitioner | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2017-06-21 |
1184177966 | Toshifumi Araki | Occupational Therapist | 1201 Highway 71 S, Hot Springs, SD 57747 | 2016-07-28 |
1396298220 | Lisa Thompson | Physical Therapist | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2016-07-27 |
1992133623 | Bonnie Annette Rickenbach | Nurse Practitioner | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2013-10-15 |
1902230170 | Tanna Jean White | Registered Nurse | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2013-08-24 |
1740532258 | James E Williams | Registered Nurse | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2012-10-08 |
1629360342 | Avery Lyne Sides | Family Medicine | 1201 Highway 71 S, Fall River Health Services, Hot Springs, SD 57747-8800 | 2011-05-12 |
1619279528 | Andrea Michelle Sterkel | Registered Nurse | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2010-11-29 |
1437463916 | Christopher James Robbins | Family Medicine | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2010-07-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013548775 | Jo Ella S. Russell | Social Worker | 500 N, 5th Street, Hot Springs, SD 57747 | 2020-01-31 |
1558910596 | Mary Terrones | Technician | 2205 Albany Ave, Hot Springs, SD 57747 | 2019-09-11 |
1619539467 | Brittany Allison Fuchs | Counselor | 504 N 5th St, Hot Springs, SD 57747 | 2019-07-02 |
1245896273 | Robert Lyons | Social Worker | Hot Springs Vamc, Hot Springs, SD 57747 | 2019-05-15 |
1326547308 | Lynette A. Roberts | Case Manager/Care Coordinator | 3 Canyon View Circle Dr., Hot Springs, SD 57747 | 2018-02-06 |
1205054772 | Robert Wayne Holwell | Chiropractor | 238 N Garden Street, Hot Springs, SD 57747 | 2007-04-23 |
1801934989 | Neuromusculoskeletal Rehabilitation and Pain Clinic, P.C. | Clinic/Center | 646 Jennings Ave., Ste #2, Hot Springs, SD 57747 | 2007-02-02 |
1902972417 | Hot Springs Ambulance Service | Ambulance | 709 S Us Hwy 385, Hot Springs, SD 57747 | 2006-11-27 |
1275615783 | Hot Springs Veterans Administration | Substance Abuse Rehabilitation Facility | 500 North Fifth St, Va Hot Springs, Hot Springs, SD 57747 | 2006-10-20 |
1609961051 | Leslie Susan Young | Psychologist | 500 N. 5th Street, Hot Springs, SD 57747 | 2006-10-03 |
Find all providers in zip 57747 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
1851902118 | Natalie S. Manatt | Nurse Practitioner | 226 Phadral Pt, Hot Springs, AR 71913-9202 | 2020-08-11 |
1700403128 | Tina Michelle Wilder Sliger | Nurse Practitioner | 265 Tobacco Rd, Hot Springs, AR 71913-8489 | 2020-07-01 |
1437792298 | Carrie Murphy Irwin | Nurse Practitioner | 857 N Moore Rd, Hot Springs, AR 71913-9027 | 2019-10-24 |
1831553999 | Priscilla Ann Couch | Nurse Practitioner | 512 Skyline Dr, Hot Springs, AR 71901-8336 | 2016-04-05 |
1962868752 | Casey Powell | Nurse Practitioner | 2266 Albert Pike Rd, Hot Springs, AR 71913-4003 | 2016-01-08 |
1467824995 | Jean Cunningham | Nurse Practitioner | 2041 Albany Ave, Hot Springs, SD 57747-2022 | 2015-10-23 |
1790161719 | Janice Suit | Nurse Practitioner | 1900 Malvern Ave Ste 301, Hot Springs, AR 71901-7778 | 2015-07-31 |
Find all providers in HOT SPRINGS |
City | HOT SPRINGS |
Zip Code | 57747 |
Please comment or provide details below to improve the information on BRENDA LYNN VANDEWATER.
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.