MICHELLE KUTZKE (NPI# 1972995371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972995371 |
| Entity Type | Individual |
| Full Name | MICHELLE KUTZKE |
| Credential | MSN, WHNP-BC |
| Practice Address |
300 S Byron Blvd Chamberlain SD 57325-9741 |
| Mailing Address |
5916 S Kerry Ave Sioux Falls SD 57106-9012 |
| Practice Telephone | 6052346551 |
| Practice Fax Number | 6052347260 |
| Mailing Telephone | 6052542918 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3893 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
CP000881 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
CP000881 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1305 W 18th St, Sioux Falls, SD 571050401 | 6053283000 |
| Street Address |
300 S BYRON BLVD |
| City | CHAMBERLAIN |
| State | SD |
| Zip Code | 57325-9741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496752 | Rose Marie Hoiten | Nurse Practitioner | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2005-09-07 |
| 1992367429 | Kaylyn Jean Doney | Family Medicine | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2019-07-04 |
| 1063989762 | Mindy Donovan | Dietitian, Registered | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2018-10-31 |
| 1821564451 | Andrea Jo Meyer | Nurse Practitioner | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2018-10-22 |
| 1700330461 | Terrence Joseph Jatczak | Nurse Practitioner | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2016-08-11 |
| 1518310515 | Destiny Brennan | Physical Therapist | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2016-07-14 |
| 1942644455 | Amber Lynn Lockwood | Nurse Anesthetist, Certified Registered | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2013-04-26 |
| 1922441161 | Joel Eggers | Family Medicine | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2013-04-08 |
| 1144587932 | Garrett Richard Houska | Nurse Anesthetist, Certified Registered | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2012-04-18 |
| 1922372036 | Beau D Braun | Physician Assistant | 300 S Byron Blvd, Chamberlain, SD 57325-9741 | 2012-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518409887 | Angelia Frederick | Registered Nurse | 100 Sioux Drive, Chamberlain, SD 57325 | 2016-11-17 |
| 1689837726 | St Josephs Indian School | Psychologist | 1301 N Main Ave, Chamberlain, SD 57325 | 2008-07-09 |
| 1134210180 | Missouri Valley Ambulance Service | Ambulance | 306 N. Courtland St., Chamberlain, SD 57325 | 2006-09-27 |
| 1013017227 | Sanford Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 110 Beebe St, Ste 1, Chamberlain, SD 57325 | 2006-09-25 |
| 1386611697 | Tyler Joe Hammell | Chiropractor | 303 N Main St, Chamberlain, SD 57325 | 2006-03-06 |
| 1750705232 | Rural Health Care, Inc. | Clinic/Center | 101 S. Front Street, Chamberlain, SD 57325-0027 | 2014-02-05 |
| 1184062234 | Sara Kay Klein | Nurse Practitioner | 101 South Front St., Chamberlain, SD 57325-0027 | 2013-06-11 |
| 1134139215 | Avera Mckennan | Family Medicine | 101 S Front Street, Chamberlain, SD 57325-0027 | 2006-08-09 |
| 1528071297 | Rural Health Care, Inc | Clinic/Center | 116 Main Street, Presho, SD 57325-0027 | 2006-08-14 |
| 1619010543 | Chamberlain Academy | Residential Treatment Facility, Emotionally Disturbed Children | 211 W 16th Ave, Chamberlain, SD 57325-0367 | 2007-02-14 |
| Find all providers in zip 57325 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760838098 | Stacy Marie Bissoon | Nurse Practitioner | 414 W 18th St, Sioux Falls, SD 57104-4810 | 2016-05-05 |
| 1033403233 | Jennifer Susanne Senge | Nurse Practitioner | 1500 W 22nd St, Suite 301, Sioux Falls, SD 57105-7702 | 2011-06-06 |
| 1558367219 | Dianna L Puttmann | Nurse Practitioner | 1500 W 22nd St, Ste 301, Sioux Falls, SD 57105-1503 | 2005-06-27 |
| City | CHAMBERLAIN |
| Zip Code | 57325 |
Please comment or provide details below to improve the information on MICHELLE KUTZKE.
| 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.