Mary C Mousseau, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

R022007 Issued in SD

Practice address

E Hwy 18
Pine Ridge, SD 57770

Phone

(605) 867-3145

Fax

(605) 867-3307

NPI assigned

Jun 11, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1649430836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 1201",
            "address_2": "HWY 18 EAST",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "57770",
            "telephone_number": "605-867-3145",
            "fax_number": "605-867-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E HWY 18",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "57770",
            "telephone_number": "605-867-3145",
            "fax_number": "605-867-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSEAU",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R022007",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SD",
            "license": "R022007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Mellor, CNM
• Thomas Edward Menzel, M.D.
• Jessica Mesteth, RN
• Linda L Mesteth, RN
• Jacklyn Jean Miller, BSN, RN
• Halona S Murdock Hughes, RN PHN
• Debra Rose Myers, RDH
• Brenda Neiss, NURSING
• Angela Nelson, PHARMD
• Ngoc Bao Nguyen, PHARM.D.

• Community Health Registered Nurse in Pine Ridge, SD
• Providers in Pine Ridge, SD by specialty
• Community Health Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.