LISA KAUTZMAN (NPI# 1861462194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861462194 |
| Entity Type | Individual |
| Full Name | LISA KAUTZMAN |
| Credential | CNP RN |
| Practice Address |
350 Elk St Rapid City SD 57701-7351 |
| Practice Telephone | 6053437262 |
| Practice Fax Number | 6053437293 |
| Mailing Telephone | 6053437262 |
| Mailing Fax Number | 6053437293 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2011-08-30 |
| 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 |
0241 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
350 ELK ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-7351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124017629 | Terry R Hicks | Psychiatry & Neurology | 350 Elk St, Rapid City, SD 57701-7351 | 2005-10-18 |
| 1093316168 | Erica Fett | Social Worker | 350 Elk St, Rapid City, SD 57701-7351 | 2020-11-05 |
| 1568063899 | Rebekah Kindll | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2020-11-03 |
| 1407460025 | Mary Laidlaw | Social Worker | 350 Elk St, Rapid City, SD 57701-7351 | 2020-09-01 |
| 1891307203 | Brianna Compton | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2020-08-18 |
| 1699387142 | Greg Riley | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2020-08-17 |
| 1558971622 | Anna Christine Heinrich | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2020-08-04 |
| 1407474406 | Vincent Bertsch | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2020-07-07 |
| 1366069262 | Bailey Rose Quinn | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2020-06-26 |
| 1134742935 | Bailey Lulf | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1700065208 | Marylou Mylant | Nurse Practitioner | 1011 11th St, Rapid City, SD 57701-3530 | 2007-10-31 |
| 1013222157 | Jennifer Ann Erdman | Nurse Practitioner | 636 Saint Anne St, Rapid City, SD 57701-4694 | 2010-08-13 |
| 1538213541 | Kay Lynn Foland | Nurse Practitioner | 636 Saint Anne St, Suite 100, Rapid City, SD 57701-4694 | 2007-01-23 |
| 1336293323 | Sheryl Jane Jackson | Nurse Practitioner | 636 Saint Anne St, Suite 100, Rapid City, SD 57701-4694 | 2007-01-23 |
| 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 |
| 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 |
| 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 |
| 1609494483 | Hannah Otten | Nurse Practitioner | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2020-07-08 |
| 1730705153 | Healing Spirit Psychiatry & Counseling | Nurse Practitioner | 39832 233rd St, Woonsocket, SD 57385-6522 | 2020-06-22 |
| 1568086064 | Kristen Naomi Hanzlik | Nurse Practitioner | 1028 Walnut St, Yankton, SD 57078-2910 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
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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.