Active NPI
Ardean G Vernon, REGISTERD NURSE
- Registered Nurse
- Rosebud, SD
National Provider Identifier
1265589352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 36469
- Practice address
- Rosebud IHS Hospital
Soldier Creek Road
Rosebud, SD 57570-0400 - Phone
- (605) 747-3245
- Fax
- (605) 747-5348
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 36469 | NE | Primary |
Addresses
Primary practice location
Rosebud IHS Hospital
Soldier Creek Road
Rosebud, SD 57570-0400
Mailing address
43 Housing New Compound
Rosebud, SD 57570-0488
Phone (605) 747-5489
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36469 | NE | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265589352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 HOUSING NEW COMPOUND",
"city": "ROSEBUD",
"state": "SD",
"postal_code": "575700488",
"telephone_number": "605-747-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROSEBUD IHS HOSPITAL",
"address_2": "SOLDIER CREEK ROAD",
"city": "ROSEBUD",
"state": "SD",
"postal_code": "575700400",
"telephone_number": "605-747-3245",
"fax_number": "605-747-5348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "ARDEAN",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "REGISTERD NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "36469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosebud, SD
- Anna Marie Thompson, RN, DPHN
- Tokata Etunwan Wakanyeza Owicakiyapi
- Total Renal Care Inc (Rosebud Dialysis)
- Tanya Jolette Twobulls, REGISTERED NURSE
- Michelle Vandermay, REGISTERED NURSE
- Dorothy S Vershure, REGISTERED PHARMACIS
- Romeo Aganad Vivit, M.D.
- Carol Ann Wade, NURSE PRACTITIONER
- Sammie Waln, REGISTERED NURSE
- Nancy Lee Storms Walsh, R.D., L.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.