Active NPI
Michelle Eddy, REGISTERED NURSE
- Registered Nurse
- Rosebud, SD
National Provider Identifier
1629357017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R034818
- Practice address
- Hwy 18 Soldier Creek Road
Rosebud IHS Hospital
Rosebud, SD 57570 - Phone
- (605) 747-2231
- Fax
- (605) 747-2216
- NPI assigned
- Aug 16, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R034818 | SD | Primary |
Addresses
Primary practice location
Hwy 18 Soldier Creek Road
Rosebud IHS Hospital
Rosebud, SD 57570
Mailing address
Hwy 18 Soldier Creek Road
Rosebud IHS Hospital
Rosebud, SD 57570
Phone (605) 747-2231
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 |
|---|---|---|---|
| R034818 | SD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1629357017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HWY 18 SOLDIER CREEK ROAD",
"address_2": "ROSEBUD IHS HOSPITAL",
"city": "ROSEBUD",
"state": "SD",
"postal_code": "57570",
"telephone_number": "605-747-2231",
"fax_number": "605-747-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 18 SOLDIER CREEK ROAD",
"address_2": "ROSEBUD IHS HOSPITAL",
"city": "ROSEBUD",
"state": "SD",
"postal_code": "57570",
"telephone_number": "605-747-2231",
"fax_number": "605-747-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "MICHELLE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SD",
"license": "R034818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosebud, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.