Jeanette Amiotte, REGISTERED NURSE

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

R029962 Issued in SD

Practice address

1000 Health Center Road
Kyle, SD 57752-0540

Phone

(605) 455-2451

Fax

(605) 455-1529

NPI assigned

Oct 7, 2016

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

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": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1225588734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER ROAD",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "577520540",
            "telephone_number": "605-455-2451",
            "fax_number": "605-455-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER ROAD",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "577520540",
            "telephone_number": "605-455-2451",
            "fax_number": "605-455-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIOTTE",
        "first_name": "JEANETTE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "SD",
            "license": "R029962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anpetu Luta Otipi
• Reta Ann Bearface, PHYSICIAN ASSISTANT
• Nikki Black Bear, LPC
• Kari R Blasius, RDLNCDE
• Roslyn Ruth Bolzer, R.D., L.N.

• Ambulatory Care Registered Nurse in Kyle, SD
• Providers in Kyle, SD by specialty
• Ambulatory Care Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.