Cheryl Coverdale
Individual provider Active NPI Early Intervention Provider Agency · Pierre, SD
NPI 1174979488 · NPPES record last updated May 5, 2016
Key facts
- NPI
- 1174979488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 729 Kennedy Loop
Pierre, SD 57501-8700 - Phone
- (605) 280-0139
- NPI assigned
- May 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0415 | SD | MD | Child & Adolescent Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0415 | SD | |
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
729 Kennedy Loop
Pierre, SD 57501-8700
Mailing address
729 Kennedy Loop
Pierre, SD 57501-8700
Phone (605) 280-0139
Other providers in Pierre, SD
- Community Coordinated Transportation System
- Community Pharmacies Inc
- Community Pharmacies Inc.
- Community Pharmacies, Inc.
- Robert T Coolidge
- Logan Jayne Cowan
- Julie Ann Cox
- Jennifer Lee Csongradi
- Stacy Cwach
- Dakota Behavioral Health PLLC
All providers in Pierre, SD · Early Intervention Provider Agency in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.