JACKALYN SPRY (NPI# 1992024137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992024137 |
| Entity Type | Individual |
| Full Name | JACKALYN SPRY |
| Practice Address |
4500 E Hwy 18 Pine Ridge SD 57770 |
| Mailing Address |
Po Box 342 Rushville NE 69360 |
| Practice Telephone | 6058673083 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2012-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4500 E HWY 18 |
| City | PINE RIDGE |
| State | SD |
| Zip Code | 57770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427352 | Apollo Medflight, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770 | 2019-06-24 |
| 1740795780 | Oglala Sioux Tribe Air Rescue | Ambulance | Pine Ridge Comprehensive Hospital: 1201 E. Highway 18th, Pineridge, SD 57770 | 2017-12-13 |
| 1841546264 | Sharla Laurene Roth | Pharmacist | E Highway 18, Pine Ridge, SD 57770 | 2012-08-03 |
| 1477843282 | Keith Lincoln Keller | Family Medicine | Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 | 2011-04-13 |
| 1063666071 | Virginia Horn | Registered Nurse | 1201 East Highway 18, Pine Ridge, SD 57770 | 2008-11-05 |
| 1881854602 | Melva A Clifford | Registered Nurse | 4500 Main Street, Pine Ridge, SD 57770 | 2008-06-16 |
| 1487814513 | Rodney R Sahr | Registered Nurse | Hwy 18 East, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2008-06-12 |
| 1770743924 | Maneen Baker | Registered Nurse | Pine Ridge Ihs, Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| 1871752139 | Patricia Jane Broberg | Registered Nurse | Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-03 |
| 1598948242 | Carey Anne Maccarthy | Counselor | 1201 Hwy 18 East, Pine Ridge Sd, SD 57770 | 2007-12-17 |
| Find all providers in zip 57770 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205096682 | Patrick Mcfarland | Radiologic Technologist | 420 4th St Ne Ste 122, Watertown, SD 57201-2658 | 2008-06-10 |
| 1770513475 | Mitchell Diagnostic | Radiologic Technologist | 2250 N Kimball St Ste 600, Mitchell, SD 57301-5335 | 2006-07-05 |
| 1508263690 | Monica Hanson | Radiologic Technologist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2014-12-04 |
| 1851726376 | Jennifer Marie Fuhr | Radiologic Technologist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2013-09-04 |
| 1447577580 | Kami H Wolf | Radiologic Technologist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-04-29 |
| 1831416973 | Debra M Meyers | Radiologic Technologist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-04-29 |
| 1871810911 | Sherry L Langstaff | Radiologic Technologist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-04-29 |
| 1730419557 | Elijah John Wolfe | Radiologic Technologist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2009-12-29 |
| 1326273707 | Brenda Ann Jackson | Radiologic Technologist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2009-05-28 |
| 1154581536 | Daniel Berg | Radiologic Technologist | 420 4th St Ne Ste 122, Watertown, SD 57201-2658 | 2008-06-10 |
| Find all providers with the same taxonomy | ||||
| City | PINE RIDGE |
| Zip Code | 57770 |
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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.