KATHLEEN E. BAUMILLER (NPI# 1801988456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801988456 |
| Entity Type | Individual |
| Full Name | KATHLEEN E. BAUMILLER |
| Credential | NP |
| Practice Address |
113 Comanche Rd Fort Meade SD 57741-1002 |
| Practice Telephone | 6057207000 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CP000343 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R020896 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
113 COMANCHE RD |
| City | FORT MEADE |
| State | SD |
| Zip Code | 57741-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893819 | Andrew J. Cottingham IIi | Anesthesiology | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2005-12-22 |
| 1306463203 | Emily Adrienne Benson | Audiologist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-06-26 |
| 1942836093 | Jason William Chipman | Counselor | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-20 |
| 1114553799 | Talona Gonzalez | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-16 |
| 1497396618 | Jenna Pruitt | Occupational Therapist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-09-30 |
| 1972159101 | Harrison Charles Johnson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-13 |
| 1992351423 | Carly Renae Wilson | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1578119988 | Lindsay Heimann | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1093367369 | Megan Czmowski | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-16 |
| 1033761044 | Amber Rose Jones | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1588754626 | Rama K.t Varma | Urology | Veterans Administration Medical Center - Fort Meade, 113 Comanche Rd, Fort Meade, SD 57741 | 2006-10-12 |
| 1720171580 | Bruce Harris Allen | Surgery | 113 Comanche Rd., Fort Meade, SD 57741 | 2006-10-02 |
| 1497976955 | Phillip Victor Thompson | Pharmacist | 113 Comanche Road, Sturgis, SD 57741 | 2007-05-01 |
| 1396831301 | Mary Clearing-sky | Psychologist | 113 Comanche Road, Fort Meade, SD 57741 | 2006-10-05 |
| 1811955206 | Susan Renae Morris | Physician Assistant | 113 Comanche Road, Fort Meade, SD 57741-1002 | 2006-05-03 |
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932567922 | Lacey Uttecht | Nurse Practitioner | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2016-02-04 |
| 1194916676 | Dania Lynn Phelps | Nurse Practitioner | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037099 | Progressing Forward Medical and Mental Health Services LLC | Nurse Practitioner | 611 Old Agency Dr Unit 134b, Sisseton, SD 57262-7224 | 2019-05-01 |
| 1962858985 | Lac Castor Wellness, LLC | Nurse Practitioner | 3213 W Main St, Rapid City, SD 57702-2314 | 2016-05-09 |
| 1790102549 | Tracy V Romey | Nurse Practitioner | 636 St. Anne St., Ste. 100, Rapid City, SD 57701 | 2014-03-18 |
| 1710266473 | Brenda Lenae Johnson | Nurse Practitioner | 306 4th St, Suite G, Brookings, SD 57006-1940 | 2011-08-12 |
| 1043444672 | Katherine Kilchmann Baltazar | Nurse Practitioner | 24276 166th Airport Rd, Eagle Butte, SD 57625-0476 | 2009-05-11 |
| 1598920738 | Amber Nicole Janis | Nurse Practitioner | E. Hwy 18, 4500 Hospital Drive, Pine Ridge Indian Health Service Hospital, Pine Ridge, SD 57770-1201 | 2008-07-28 |
| 1700065208 | Marylou Mylant | Nurse Practitioner | 1011 11th St, Rapid City, SD 57701-3530 | 2007-10-31 |
| 1518021260 | Donna M. Linke | Nurse Practitioner | 39832 233rd St, Woonsocket, SD 57385-6522 | 2006-12-20 |
| 1437155132 | Family Institute of The Midwest | Nurse Practitioner | 520 W 22nd St, Sioux Falls, SD 57105-1702 | 2005-06-27 |
| 1790393825 | Anders Peterson | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT MEADE |
| Zip Code | 57741 |
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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.