Active NPI
Amiel Narcelle Redfish, PA
- Physician Assistant
- Arlington, SD
National Provider Identifier
1457418857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- SD0173
- Practice address
- 104 W Birch
Arlington, SD 57212-0291 - Phone
- (605) 983-3283
- Fax
- (605) 983-5112
- NPI assigned
- Jan 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | SD0173 | SD | Primary |
Addresses
Primary practice location
104 W Birch
Arlington, SD 57212-0291
Mailing address
PO Box 291
104 W. Birch
Arlington, SD 57212-0291
Phone (605) 983-3283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5300830 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huron Regional Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/31fef104-c81e-4b2e-b1c2-a11a2b75de40/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Amie N. Redfish, PC
- Exclusive Provider Organization
- Arlington, SD
- NPI 1972751766
-
dba DeSmet Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- De Smet, SD
- NPI 1679635239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457418857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 291",
"address_2": "104 W. BIRCH",
"city": "ARLINGTON",
"state": "SD",
"postal_code": "572120291",
"telephone_number": "605-983-3283",
"fax_number": "605-983-5112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W BIRCH",
"city": "ARLINGTON",
"state": "SD",
"postal_code": "572120291",
"telephone_number": "605-983-3283",
"fax_number": "605-983-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDFISH",
"first_name": "AMIEL",
"middle_name": "NARCELLE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "SD0173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5300830",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, SD
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.