Individual provider Active NPI

Jayda R Zemlicka, PA-C

  • Physician Assistant
  • Watertown, SD
National Provider Identifier
1134035942
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1745 Issued in SD
Practice address
511 14TH Ave NE
Watertown, SD 57201-6811
Phone
(605) 886-8482
Fax
(605) 884-4332
NPI assigned
Aug 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1745 SD Primary

Addresses

Primary practice location

511 14TH Ave NE
Watertown, SD 57201-6811

Mailing address

511 14TH Ave NE
Watertown, SD 57201-6811
Phone (605) 886-8482

Other practice location 1

400 22nd Ave
Brookings, SD 57006-2447
Phone (605) 697-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1134035942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 14TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016811",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 14TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016811",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "SD",
            "postal_code": "570062447",
            "country_code": "US",
            "telephone_number": "605-697-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEMLICKA",
        "first_name": "JAYDA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.