Lucy P Backward, RN
Individual provider Active NPI Registered Nurse · Pine Ridge, SD
NPI 1669631925 · NPPES record last updated Jun 3, 2008
Key facts
- NPI
- 1669631925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R023658 (SD)
- Practice address
- US Hwy 18
Pine Ridge, SD 57770-1201 - Phone
- (605) 867-5131
- Fax
- (605) 867-3263
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| R023658 | SD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R023658 | SD | Yes |
Addresses
Primary practice location
US Hwy 18
Pine Ridge, SD 57770-1201
Mailing address
US Hiway 18
Pine Ridge, SD 57770-1201
Phone (605) 867-5131
Other providers in Pine Ridge, SD
- Apollo Medflight, LLC
- Steven John Arity
- Lori Armstrong
- Kathy Asetamy
- Latona M Austin
- Maneen Baker
- Ryan Baxter
- Steven G Beliel
- Barbara J Berry-Palmier
- Jodee Bettelyoun
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 3, 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.