Teresa Annette Blacksmith, RN
Registered Nurse in Pine Ridge, SD. Individual provider (NPI-1).
NPI number1639338122
StatusActive
Last updated in NPPESJun 9, 2008
Details
- NPI
- 1639338122
- Entity type
- Individual (NPI-1)
- Name
- Teresa Annette Blacksmith
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2008
- Last updated
- Jun 9, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R027661 | SD | Yes |
Practice location
Us Hwy 18Pine Ridge Ihs
Pine Ridge, SD 57770
Phone 605-867-3007
Mailing address
Ihs N-21Pine Ridge, SD 57770
Phone 605-867-2581
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 44 Registered Nurse providers in Pine Ridge · All 179 providers in Pine Ridge
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