CALEB AMOS (NPI# 1851836068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851836068 |
Entity Type | Individual |
Full Name | CALEB AMOS |
Credential | RN |
Practice Address |
3200 Canyon Lake Dr Rapid City SD 57702-8114 |
Practice Telephone | 6053552500 |
Enumeration Date | 2016-12-23 |
Last Update Date | 2016-12-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
R045773 | SD | Nursing Service Providers |
Street Address |
3200 CANYON LAKE DR |
City | RAPID CITY |
State | SD |
Zip Code | 57702-8114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578566014 | Linnea Ann Putnam | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2005-05-28 |
1588201404 | Rachel Paulsen | Nurse Practitioner | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2019-12-10 |
1376105452 | Great Plains Tribal Chairmen's Health Board | Pharmacy | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2019-06-28 |
1639641350 | Cindy C Jacobs | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-12-19 |
1205344660 | Ethan A Harris | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-01-18 |
1770094674 | Eric C Robinson | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-10-18 |
1588173322 | Alan Ross Patterson | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-09-25 |
1710407911 | Danielle Prudich | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-06-20 |
1730609868 | Jane Phillips | Dental Hygienist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-06-20 |
1407382666 | Dawn Badwound | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-05-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
Find all providers in zip 57702 |
Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619266921 | Weewashte Conroy | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2011-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902395205 | Tonya Marie Jost | Registered Nurse | 104 S River St, Chamberlain, SD 57325-1524 | 2018-05-02 |
1881102010 | Jasmine Shanae Hypolite | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262 | 2018-01-23 |
1225588734 | Jeanette Amiotte | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2016-10-07 |
1619426319 | Amanda Lea Hicks | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752 | 2016-09-23 |
1114383262 | Jocelyn Adams | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2016-01-05 |
1073939914 | Faye Hernandez | Registered Nurse | 1000 Health Center Rd, Kyle, SD 57752 | 2014-03-17 |
1063842417 | Jobeth Ann Swallow | Registered Nurse | East Highway 18, Pine Ridge, SD 57770 | 2013-11-22 |
1457783623 | Robert Eugene Hansen | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2013-07-30 |
1649617630 | Denise Red Horse | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2013-05-30 |
1215259346 | Shirley Jean Seaboy | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2010-02-16 |
Find all providers with the same taxonomy |
City | RAPID CITY |
Zip Code | 57702 |
Please comment or provide details below to improve the information on CALEB AMOS.
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.