Ellen Pietsch

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

R042935 Issued in SD

Practice address

24276 Airport Rd
Eagle Butte, SD 57625

Phone

(605) 964-0705

NPI assigned

Oct 16, 2014

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1184028383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576250882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24276 AIRPORT RD",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "57625",
            "telephone_number": "605-964-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETSCH",
        "first_name": "ELLEN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "SD",
            "license": "R042935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Peacock
• Wakiyan Peta, LAC
• Amalia Marie Petersen, RN
• Lethi Bui Pham, RPH
• Ylien Phung
• Prairie Community Health, Inc.
• Sheri Michele Printz, PHARMD
• Cristian Raether
• Jessica Rank, PH.D.
• Cynthia Raymore

• Medical-Surgical Registered Nurse in Eagle Butte, SD
• Providers in Eagle Butte, SD by specialty
• Medical-Surgical Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.