Teresa Annette Blacksmith, RN
Individual provider Active NPI Registered Nurse · Pine Ridge, SD
NPI 1639338122 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1639338122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R027661 (SD)
- Practice address
- US Hwy 18
Pine Ridge IHS
Pine Ridge, SD 57770 - Phone
- (605) 867-3007
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| R027661 | SD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R027661 | SD | Yes |
Addresses
Primary practice location
US Hwy 18
Pine Ridge IHS
Pine Ridge, SD 57770
Mailing address
IHS N-21
Pine Ridge, SD 57770
Phone (605) 867-2581
Other providers in Pine Ridge, SD
- Steven G Beliel
- Barbara J Berry-Palmier
- Jodee Bettelyoun
- Mary Bickel
- Black Hills Dialysis, LLC
- Jodi Dionne Bourne
- Michael Brian Brady
- Catherine Stilwell Brechtel
- Heather J Brehmer
- Patricia Jane Broberg
All providers in Pine Ridge, SD · 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 9, 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.