Mellissa Jo Vig

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

R036323 Issued in SD

Practice address

24276 Airport Rd. 166TH Street
Eagle Butte, SD 57626

Phone

(605) 964-7724

NPI assigned

Nov 20, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1982118436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18138 OPAL RD",
            "city": "OPAL",
            "state": "SD",
            "postal_code": "577587060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24276 AIRPORT RD. 166TH STREET",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "57626",
            "telephone_number": "605-964-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIG",
        "first_name": "MELLISSA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "SD",
            "license": "R036323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Truax, RN
• Jacob R. Turin, PHARMD
• Margaret L Upell, MD
• Candace Mae Veit, FNP-C
• Lisa M Veit, RN
• Seth Volk
• Connie Jo Walters, LPN
• Jastyn Blayne Ward
• Johnna Rae Watt, RN, BSN
• Matthew Watters, PHARMD

• Emergency Registered Nurse in Eagle Butte, SD
• Providers in Eagle Butte, SD by specialty
• Emergency Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.