JENNIFER ASSAM (NPI# 1982198776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982198776 |
| Entity Type | Individual |
| Full Name | JENNIFER ASSAM |
| Credential | MD |
| Practice Address |
4400 W 69th St Sioux Falls SD 57108-8170 |
| Practice Telephone | 6053224005 |
| Mailing Telephone | 6053224005 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1017 S Main Ave, Sioux Falls, SD 571050736 | 6053224005 |
| Street Address |
4400 W 69TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-8170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023080595 | Sarah A Flynn | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2006-02-07 |
| 1609494483 | Hannah Otten | Nurse Practitioner | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2020-07-08 |
| 1265096739 | Chelsea Oppold | Social Worker | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2019-04-30 |
| 1891358248 | Paige Elizabeth Thompson | Social Worker | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2019-04-20 |
| 1184150468 | Gerard J Kokett | Pharmacist | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2017-05-05 |
| 1851823892 | Matthew Malecha | Student in an Organized Health Care Education/Training Program | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2017-03-29 |
| 1992254072 | Jenna Visser | Social Worker | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2016-09-29 |
| 1134674476 | Julia Alzoubaidi | Psychologist | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2016-08-16 |
| 1598131831 | Amber Marie Reints | Nurse Practitioner | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2015-08-20 |
| 1083018550 | Kyle A Duke | Physician Assistant | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2014-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1851915516 | Matthew John Lommen | Student in an Organized Health Care Education/Training Program | 308 E 18th St, Sioux Falls, SD 57104-5025 | 2020-05-28 |
| 1407484603 | Tej Ishaan Mehta | Student in an Organized Health Care Education/Training Program | 7840 S Townsley Ave Unit 5, Sioux Falls, SD 57108-7604 | 2020-04-01 |
| 1508497678 | Heather Joy Abels | Student in an Organized Health Care Education/Training Program | 3812 E Shepherd St, Sioux Falls, SD 57103-8615 | 2020-01-28 |
| 1518421155 | Ali Xiaoxing Hoffman | Student in an Organized Health Care Education/Training Program | 3700 S Slaten Park Dr, Sioux Falls, SD 57103-4633 | 2019-01-28 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1184079352 | Valerie Norris | Student in an Organized Health Care Education/Training Program | 1305 W 18th St # 5039, Sioux Falls, SD 57105-0401 | 2016-04-25 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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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.