MELLISSA JO VIG (NPI# 1982118436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982118436 |
| Entity Type | Individual |
| Full Name | MELLISSA JO VIG |
| Practice Address |
24276 Airport Rd. 166th Street Eagle Butte SD 57626 |
| Mailing Address |
18138 Opal Rd Opal SD 57758-7060 |
| Practice Telephone | 6059647724 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
R036323 | SD | Nursing Service Providers |
| Street Address |
24276 AIRPORT RD. 166TH STREET |
| City | EAGLE BUTTE |
| State | SD |
| Zip Code | 57626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205865110 | City of Faith | Ambulance | 206 N Main, Faith, SD 57626 | 2006-07-02 |
| 1376819409 | Black Hills Health and Wellness Center | Chiropractor | 112 N 2nd Ave W, Faith, SD 57626-0000 | 2012-03-22 |
| 1093261794 | Prairie Care Home Health LLC | Home Health | 300 North Fairgrounds Street, Faith, SD 57626-0061 | 2016-09-01 |
| 1174043780 | Bryce Wilen | Dentist | Po Box 577, Faith, SD 57626-0577 | 2017-06-24 |
| 1760933246 | Horizon Health Care, Inc. | Clinic/Center | 112 N 2nd Ave. W, Faith, SD 57626-0577 | 2016-10-19 |
| 1568436236 | Darci J Harper | Nurse Practitioner | 112 N 2nd Ave W, Faith, SD 57626-0577 | 2006-02-17 |
| 1568741858 | Alanna R Chapman | Physician Assistant | 112 N 2nd Ave W, Faith, SD 57626-0577 | 2011-08-04 |
| 1912972712 | Horizon Health Care Inc | Clinic/Center | 112 N 2nd Ave W, Faith, SD 57626-0577 | 2006-02-23 |
| 1780089300 | Faith School District | Local Education Agency (LEA) | 206 W 5th St, Faith, SD 57626-0619 | 2014-10-24 |
| 1528380862 | Community Pharmacies | Pharmacy | 100 Main Street, Faith, SD 57626-0637 | 2010-02-26 |
| Find all providers in zip 57626 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518429539 | Lisa Marie Brower | Registered Nurse | 24276 166th Street, Airport Rd., Eagle Butte, SD 57625 | 2019-04-01 |
| 1619455540 | Alycia Oster | Registered Nurse | 24276 166th St Airport Rd, Eagle Butte, SD 57625 | 2018-08-02 |
| 1467068759 | Kristine Snowden | Registered Nurse | 24276 166th Street, Eagle Butte, SD 57625 | 2020-09-22 |
| 1891301420 | Leila Dougherty | Registered Nurse | 24276 166th Street Airport Road, Eagle Butte, SD 57625 | 2020-09-18 |
| 1396355913 | Tiffany Runde | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-08-07 |
| 1194349035 | Eduardo Alejandro Bilbao La Vieja | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-06-06 |
| 1164045308 | Katie Donnell Mandle | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-05-21 |
| 1871126458 | Heather A Sierra | Registered Nurse | 24276 166 St Airport Rd, Eagle Butte, SD 97625 | 2020-02-21 |
| 1528690591 | Annmarie Ducheneaux | Registered Nurse | 24276 166th Street Airport Road, Eagle Butte, SD 57625 | 2020-02-07 |
| 1457982829 | Michelle Rae Hartnagel | Registered Nurse | 24276 Airport Rd, Eagle Butte, SD 57625-8021 | 2020-02-04 |
| Find all providers in EAGLE BUTTE | ||||
| City | EAGLE BUTTE |
| Zip Code | 57626 |
Please comment or provide details below to improve the information on MELLISSA JO VIG.
| 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.