LACEY WONDERCHECK (NPI# 1891242418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891242418 |
Entity Type | Individual |
Full Name | LACEY WONDERCHECK |
Practice Address |
503 N Main Isabel SD 57633-0035 |
Mailing Address |
Po Box 35 Isabel SD 57633-0035 |
Practice Telephone | 6054662206 |
Practice Fax Number | 6054662207 |
Mailing Telephone | 6054662206 |
Mailing Fax Number | 6054662207 |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
278-SLPA | SD | Speech, Language and Hearing Service Providers |
Street Address |
503 N MAIN |
City | ISABEL |
State | SD |
Zip Code | 57633-0035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447472949 | Isabel School District | Local Education Agency (LEA) | 503 N Main, Isabel, SD 57633-0035 | 2007-05-03 |
1649727256 | Micki Hutchinson | Specialist/Technologist | 503 N Main, Isabel, SD 57633-0035 | 2016-09-01 |
1689121287 | Colette Enright | Speech-Language Pathologist | 503 N Main, Isabel, SD 57633-0035 | 2016-09-01 |
1891979316 | Mcintosh School | Local Education Agency (LEA) | 503 N Main, Isabel, SD 57633-0035 | 2007-12-19 |
1861674079 | Timber Lake School | Local Education Agency (LEA) | 503 N Main, Isabel, SD 57633-0035 | 2007-11-29 |
1760604250 | Dupree School District | Local Education Agency (LEA) | 503 N Main, Isabel, SD 57633 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497071708 | Isabel-dewey County Ambulance Service | Ambulance | 124 N. Main St, Isabel, SD 57633 | 2010-04-12 |
1518009349 | Dewey County Ambulance Service | Ambulance | 124 N Main, Isabel, SD 57633 | 2007-02-12 |
1295282895 | Annette Filler | Speech-Language Pathologist | 503 N Main Street, Isabel, SD 57633-0035 | 2016-09-01 |
1205800075 | Horizon Health Care Inc | Clinic/Center | 118 N Main Street, Isabel, SD 57633-0097 | 2006-02-16 |
1972585404 | Geralyn C Hahne | Physician Assistant | 118 N. Main, Isabel, SD 57633-0097 | 2005-11-18 |
1679541932 | David H Rollason Jr. | Physician Assistant | 118 N Main St, Isabel, SD 57633-0097 | 2006-03-10 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649727256 | Micki Hutchinson | Specialist/Technologist | 503 N Main, Isabel, SD 57633-0035 | 2016-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871079525 | Roxanne Holzer | Specialist/Technologist | 1701 Downing St, Rapid City, SD 57701-0701 | 2018-07-16 |
1861901258 | Tara Lee Eisenbeisz | Specialist/Technologist | 414 S 10th St, Aberdeen, SD 57401-3856 | 2017-09-28 |
1366998700 | Abby Trudeau | Specialist/Technologist | 1109 W Cedar St, Beresford, SD 57004-1524 | 2016-08-26 |
1003360025 | Tiffany Albertson | Specialist/Technologist | 406 W 14th Ave, Tyndall, SD 57066-2280 | 2016-08-08 |
1477906790 | Taylor Delker | Specialist/Technologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-07-21 |
1851748800 | Cari Haase | Specialist/Technologist | 414 S 10th St, Aberdeen, SD 57401-3856 | 2016-05-19 |
1861869174 | Emily Marsh | Specialist/Technologist | 2115 S Pendar Ln, Sioux Falls, SD 57105-3944 | 2015-08-24 |
1245475276 | Lezlie J Even | Specialist/Technologist | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2008-12-04 |
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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.