Alexandra L Bachman-Williams

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

24337 US Highway 212
Eagle Butte, SD 57625-7770

Phone

(605) 965-8000

NPI assigned

May 15, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Horizon Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Plankinton, SD
  • NPI 1356459382

  SD

  Medicare reassignment
• Horizon Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Yankton, SD
  • NPI 1013445907
  NPD
• Horizon Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • McIntosh, SD
  • NPI 1609842665
  NPD
• Prairie Community Health Inc

  • Clinic/Center
  • Dupree, SD
  • NPI 1538582416
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1104448851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "city": "TIMBER LAKE",
            "state": "SD",
            "postal_code": "576560409",
            "telephone_number": "701-208-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24337 US HIGHWAY 212",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576257770",
            "telephone_number": "605-965-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Main St",
            "address_purpose": "LOCATION",
            "city": "Isabel",
            "state": "SD",
            "postal_code": "57633",
            "country_code": "US",
            "telephone_number": "605-466-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHMAN-WILLIAMS",
        "first_name": "ALEXANDRA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Boyd Amundson, RPH
• Toni Anders, RN
• Torie Kay Antonie, RN, BNS
• Sarah Jean Antrim, PHARM D
• Jayce Lenae Assman, RN
• Susan F Baker, CNP
• Sarah Bennett
• Eduardo Alejandro Bilbao la Vieja, RN
• Mark D Black, PHARM D
• Blackhills Dialysis, L.L.C.

• All providers in Eagle Butte, SD
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.