Emily Eisenbraun

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

R048401 Issued in SD

Practice address

4 19TH St NE
Watertown, SD 57201-3936

Phone

(605) 884-2420

NPI assigned

May 20, 2025

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": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1235921925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 19TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013936",
            "telephone_number": "605-884-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 19TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013936",
            "telephone_number": "605-884-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBRAUN",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "SD",
            "license": "R048401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgewood Prairie Crossings Watertown, LLC
• Edgewood Watertown MC 2 LLC
• Jenna Ehlis, DDS
• Hanna Eide, CNP
• Tiffany Dawn Eide, COTA/L
• Jvonne L Ellingson, CCDCT
• Joseph Turner Elliott III, M.D.
• Kasey Sue Ellis-Van Liere
• Haley Marie Ellis, CNP
• Embrace 212 LLC

• All providers in Watertown, SD
• General Practice Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.