Deidra Monique Hall
Individual provider Active NPI Nurse's Aide · Eagle Butte, SD
NPI 1447765987 · NPPES record last updated Dec 6, 2017
Key facts
- NPI
- 1447765987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 035850010 (SD)
- Practice address
- 211 S Spiel Court
Eagle Butte, SD 57625 - Phone
- (605) 230-1378
- NPI assigned
- Dec 6, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035850010 | SD | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 035850010 | SD | Yes |
Addresses
Primary practice location
211 S Spiel Court
Eagle Butte, SD 57625
Mailing address
PO Box 1430
Eagle Butte, SD 57625-1430
Other providers in Eagle Butte, SD
- Daniel Clayton Gioia
- Deana Gipp
- Marie E Gross
- Christopher Allen Guggolz
- Arlette Darshan Hager
- Devany Loren Hall
- Rikki Lynn Hall
- Michelle Rae Hartnagel
- Kendal Lorraine Harvey
- Michelle Hermann
All providers in Eagle Butte, SD · Nurse's Aide 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 Dec 6, 2017. 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.