KATE EAGLESTAFF NPI 1316200934

NPI Information

  • NPI: 1316200934
  • Provider Name: KATE EAGLESTAFF
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 24276 166TH ST. AIRPORT RAOD
    EAGLE BUTTE, SD
    ZIP 57625
  • Phone: (605) 964-7724

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NPI Details

Kate Eaglestaff is a licensed practical nurse in Eagle Butte, SD. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Kate Eaglestaff NPI is 1316200934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24276 166TH ST. AIRPORT RAOD
EAGLE BUTTE, SD
ZIP 57625
Phone: (605) 964-7724

The enumeration date for this NPI number is 6/19/2012 and was last updated on 6/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical NurseP010457SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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