TIERNEY JO DONOVAN (NPI# 1891306585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891306585 |
| Entity Type | Individual |
| Full Name | TIERNEY JO DONOVAN |
| Credential | RN |
| Practice Address |
24276 Airport Rd Eagle Butte SD 57625-8021 |
| Practice Telephone | 6059647724 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
R053227 | SD | Nursing Service Providers |
| Street Address |
24276 AIRPORT RD |
| City | EAGLE BUTTE |
| State | SD |
| Zip Code | 57625-8021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164831376 | Michelle Hermann | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625 | 2014-08-13 |
| 1396355913 | Tiffany Runde | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-08-07 |
| 1235749102 | Kayli Ellen Jean Kjerstad | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-08-05 |
| 1932719705 | Jayce Lenae Assman | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-08-05 |
| 1194349035 | Eduardo Alejandro Bilbao La Vieja | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-06-06 |
| 1043833965 | Madisen Dean | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-05-27 |
| 1164045308 | Katie Donnell Mandle | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-05-21 |
| 1598398232 | Ashley Marie Jennings | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-02-21 |
| 1407489149 | Jana Hunt | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-02-21 |
| 1295368694 | Samantha Renee Orrill | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998359 | Jill M Marshall | Registered Nurse | 24279 166th St. Airport Road, Eagle Butte, SD 57625 | 2020-06-29 |
| 1871110890 | Stephen Andrew Williams | Registered Nurse | 24767 166th St, Eagle Butte, SD 57625 | 2020-06-26 |
| 1730706706 | Shannon Renee Brautigan | Registered Nurse | 24276 166th Street Airport Rd., Eagle Butte, SD 57625 | 2020-06-25 |
| 1598327827 | Lucy Manu | Pharmacist | 24276 166th Street; Airport Road, Eagle Butte, SD 57625 | 2019-07-08 |
| 1518429539 | Lisa Marie Brower | Registered Nurse | 24276 166th Street, Airport Rd., Eagle Butte, SD 57625 | 2019-04-01 |
| 1063976025 | Jeff Dixon | Pharmacist | Cheyenne River Health Center 24276 Airport Rd., 166th S, Eagle Butte, SD 57625 | 2019-01-24 |
| 1619455540 | Alycia Oster | Registered Nurse | 24276 166th St Airport Rd, Eagle Butte, SD 57625 | 2018-08-02 |
| 1447765987 | Deidra Monique Hall | Nurse's Aide | 211 S Spiel Court, Eagle Butte, SD 57625 | 2017-12-06 |
| 1295271070 | Cree Iron Cloud | Registered Nurse | #24276 Airport Rd, Eagle Butte, SD 57625 | 2017-01-17 |
| 1922452531 | Holly Mattern | Registered Nurse | 24276 166th Street Airport Rd, Eagle Bute, SD 57625 | 2016-04-20 |
| Find all providers in zip 57625 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124247614 | Robyn F Logg | Registered Nurse | 317 North Main, Eagle Butte, SD 57625 | 2007-04-24 |
| 1043833965 | Madisen Dean | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-05-27 |
| 1104384908 | Rachel Truax | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625 | 2019-03-11 |
| 1184028383 | Ellen Pietsch | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625 | 2014-10-16 |
| 1043439433 | Rikki Lynn Hall | Registered Nurse | 317 North Main, Eagle Butte, SD 57625 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881231918 | Heather D Thompson | Registered Nurse | 20840 478th Ave, White, SD 57276-5904 | 2019-12-09 |
| 1366895013 | Sarah Jo Hunt | Registered Nurse | 1205 S Grange Ave # Mb2, Suite 104, Sioux Falls, SD 57105-0407 | 2016-07-18 |
| 1114136405 | Robert Edmond Sousek | Registered Nurse | 1725 S 7th Ave, Sioux Falls, SD 57105-2011 | 2007-05-22 |
| 1770032336 | Michelle Janis | Registered Nurse | East Highway 18, Box 1201, Pine Ridge, SD 57770-1201 | 2016-09-23 |
| 1952753097 | Bailey Cummings | Registered Nurse | 1 Highway 18, Pine Ridge, SD 57770-9998 | 2016-07-12 |
| 1699928044 | Brenda Neiss | Registered Nurse | E Hwy 18, Pine Ridge, SD 57770-1201 | 2008-10-29 |
| 1194987354 | Julie Jones | Registered Nurse | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2008-06-30 |
| 1972763167 | Debra Lacey | Registered Nurse | Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| 1942460431 | Jessica Jean Zephier | Registered Nurse | 4500 Main St, East Hwy 18, Pine Ridge, SD 57770-1201 | 2008-06-10 |
| 1194984344 | Heidi Lynn Stands | Registered Nurse | 1201 E Hwy 18, Pine Ridge Ihs, Pine Ridge, SD 57770 | 2008-06-03 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE BUTTE |
| Zip Code | 57625 |
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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.