| Mrs Kathryn Ann Hettinger, CFNP | |
|
1714 Abbey Rd, Pierre, SD 57501-7805 | |
| (605) 224-8841 | |
| (605) 224-6852 |
| Full Name | Mrs Kathryn Ann Hettinger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1714 Abbey Rd, Pierre, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689690919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0349 (South Dakota) | Primary |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965 |
| Entity Name | Fort Yates Indian Health Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710037288 PECOS PAC ID: 9032287008 Enrollment ID: O20090116000441 |
| Entity Name | Great Plains Tribal Chairmens Health Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376105452 PECOS PAC ID: 0648609917 Enrollment ID: O20200408001014 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathryn Ann Hettinger, CFNP 1714 Abbey Rd, Pierre, SD 57501-7805 Ph: (605) 224-8841 | Mrs Kathryn Ann Hettinger, CFNP 1714 Abbey Rd, Pierre, SD 57501-7805 Ph: (605) 224-8841 |
Danielle Campbell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 | |
Julie Ann Cox, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 | |
Ericka Leslie Petersen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 | |
Sarah Jane Speck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3100 | |
Ms. Tami Lynn Hogie-lorenzen, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1714 Abbey Road, Pierre, SD 57501 Phone: 605-224-8841 Fax: 605-224-6852 | |
Mrs. Kimberly Haines, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 | |
Wren Hollingsworth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 |