Kathy Asetamy, RN
Individual provider Active NPI Case Management Registered Nurse · Pine Ridge, SD
NPI 1346409232 · NPPES record last updated Jun 5, 2008
Key facts
- NPI
- 1346409232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- RO 29735 (SD)
- Practice address
- East Highway 18
Pine Ridge, SD 57770-1201 - Phone
- (605) 867-5131
- Fax
- (605) 867-3271
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO 29735 | SD | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Past | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RO 29735 | SD | Yes |
Addresses
Primary practice location
East Highway 18
Pine Ridge, SD 57770-1201
Mailing address
PO Box 1201
Pine Ridge, SD 57770-1201
Phone (605) 867-5131
Other providers in Pine Ridge, SD
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- Tia Akers
- Apollo Medflight, LLC
- Steven John Arity
- Lori Armstrong
- Latona M Austin
- Lucy P Backward
- Maneen Baker
- Ryan Baxter
- Steven G Beliel
All providers in Pine Ridge, SD · Case Management Registered Nurse 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 Jun 5, 2008. 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.