AMY S JURACEK (NPI# 1790732600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790732600 |
| Entity Type | Individual |
| Full Name | AMY S JURACEK |
| Other Name | AMY S WITT |
| Credential | CNP |
| Practice Address |
814 Jackson St Burke SD 57523-0358 |
| Practice Telephone | 6057752631 |
| Mailing Telephone | 6057752631 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2013-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000467 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DME | 0851370001 | 01 | |
| SD | 6829160 | 05 |
| Street Address |
814 JACKSON ST |
| City | BURKE |
| State | SD |
| Zip Code | 57523-0358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347496 | Debra K Leibel | Nurse Practitioner | 814 Jackson St, Burke, SD 57523-0358 | 2005-06-23 |
| 1568754216 | Megan M Smith | Family Medicine | 814 Jackson St, Burke, SD 57523 | 2011-05-12 |
| 1447293196 | Community Memorial Hospital, Inc | Clinic/Center | 814 Jackson St, Burke, SD 57523-0358 | 2006-06-13 |
| 1346289568 | Michael R Birgenheir | Physician Assistant | 814 Jackson St, Burke, SD 57523-0358 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710047949 | Burke Community Pharmacy | Pharmacy | 814 Jackson Street, Burke, SD 57523 | 2006-12-11 |
| 1497875306 | Burke Ambulance Service, Inc. | Ambulance | 701 Washington Street, Burke, SD 57523-0061 | 2007-04-02 |
| 1578889523 | Burke Volunteer Fire Department and Ambulance Service Inc | Ambulance | 701 Washington Street, Burke, SD 57523-0061 | 2010-04-15 |
| 1841601176 | Nancy Benter | Registered Nurse | 145 W 5 St, Burke, SD 57523-0147 | 2014-05-08 |
| 1659544807 | Community Memorial Hospital | Home Health | 809 Jackson St, Burke, SD 57523-0319 | 2008-04-09 |
| 1487878435 | Community Memorial Hospital, Inc | Clinic/Center | 809 Jackson St, Burke, SD 57523-0319 | 2007-04-12 |
| 1124108568 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-10-17 |
| 1902849516 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-06-13 |
| 1881794006 | Sanford Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 841 Jackson St Suite A, Burke, SD 57523-0375 | 2006-09-25 |
| 1649877374 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 841 Jackson St Suite A, Burke, SD 57523-0375 | 2020-10-06 |
| Find all providers in zip 57523 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093267429 | Nina Mai | Nurse Practitioner | 9409 Old Burke Lake Rd Ste B, Burke, VA 22015-3127 | 2016-11-02 |
| 1255883021 | Patience Youne Yengo | Nurse Practitioner | 9810 Lakepointe Dr, Burke, VA 22015-1822 | 2016-10-27 |
| 1659649655 | Mahawa Mbalu Kagbo | Nurse Practitioner | 5864 Wood Flower Ct, Burke, VA 22015-2713 | 2011-12-05 |
| 1528294980 | Veena Rani Puri Butler | Nurse Practitioner | 8988 Fern Park Drive, Burke, VA 22015 | 2009-05-29 |
| 1295901023 | Pamela A Fine | Nurse Practitioner | 9409b Old Burke Lake Rd, Burke, VA 22015-3127 | 2008-05-01 |
| 1356347496 | Debra K Leibel | Nurse Practitioner | 814 Jackson St, Burke, SD 57523-0358 | 2005-06-23 |
| 1851901227 | Emily A Scott | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015-1635 | 2020-07-31 |
| 1427698760 | Lindsay Gann Killick | Nurse Practitioner | 9409b Old Burke Lake Rd, Burke, VA 22015-3127 | 2020-01-15 |
| 1487124236 | Jessica Lynn Fiore | Nurse Practitioner | 8988 Fern Park Dr, Burke, VA 22015-1635 | 2018-12-04 |
| 1295213908 | Grace Thapa | Nurse Practitioner | 9409 Old Burke Lake Rd Ste B, Burke, VA 22015-3127 | 2018-08-03 |
| Find all providers in BURKE | ||||
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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.