Mardonna R Hulm, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RO18353 Issued in SD

Practice address

113 Comanche Rd
Fort Meade, SD 57741-1002

Phone

(605) 347-2451

Fax

(605) 720-7286

NPI assigned

Oct 4, 2006

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

Other names 1

• Mardi R Hulm Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619063252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16060 226TH ST",
            "city": "NEW UNDERWOOD",
            "state": "SD",
            "postal_code": "577616124",
            "telephone_number": "605-347-2511",
            "fax_number": "605-720-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-347-2451",
            "fax_number": "605-720-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULM",
        "first_name": "MARDONNA",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SD",
            "license": "RO18353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARDI",
            "last_name": "HULM",
            "middle_name": "R",
            "credential": "CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle Evans Howard, PHARM.D.
• Brittany Anne Huber, RN
• Kimberly Kay Huck, RN
• Jennifer Lee Hudelson
• Darla Jean Hulm, RN
• Sandra Geraldine Hunt Walter, LMSW
• Beth Ann Hunt, RN
• Dena Marie Hunt, RN
• Whitney Rae Hutchison, PHARM.D.
• Angela K Huxford

• Adult Health Nurse Practitioner in Fort Meade, SD
• Providers in Fort Meade, SD by specialty
• Adult Health Nurse Practitioner in South Dakota

• 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.

Verify at the official NPI Registry.