Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kimberly Hawk Eagle , LPN

Licensed Practical Nurse β€’ Fort Yates, ND

Active NPI 1467820118 Individual Practitioner Female Practitioner
Practice location in NPPES

10 N River Road
Fort Yates, ND 58538

Call 7018543831 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10 N River Road

Fort Yates, ND 58538

Telephone 7018543831
Organization at the Same NPPES Address or Phone
Fort Yates Indian Health Service Hospital Facility NPI 1023557907

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Yates and North Dakota

8 active clinicians are listed under Licensed Practical Nurse with a practice address in Fort Yates, ND (306 in North Dakota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-02-13
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES ND L14719

An individual 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Dakota State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
NPI 1144604158

Doctor of Medicine (M.D.)

Dr. Tuyet Luu , MD

Family Medicine

NPI 1336428655

Doctor of Medicine (M.D.)

Christine Rosheim , ARNP

Nurse Practitioner - Family

NPI 1861831877

Advanced Registered Nurse Practitioner

Brent Wiederholt , NP-C

Nurse Practitioner - Family

NPI 1588825723

Nurse Practitioner (Certified)

Dr. Penny Wilkie , MD

Family Medicine

NPI 1861557977

Doctor of Medicine (M.D.)

Robbi Yellow , NP

Nurse Practitioner - Family

NPI 1558522797

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location February 13, 2020

Registered at 10 N RIVER ROAD, FORT YATES, ND 58538 (Tel: 7018543831)

πŸ“
Updated Business Mailing Address February 13, 2020

Registered at PO BOX J, FORT YATES, ND 585380527 (Tel: 7018543831)

πŸ‘€
Provider Name / Credentials Updated February 13, 2020

Recorded as KIMBERLY HAWK EAGLE, LPN

βœ…
NPI Profile Active September 11, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 11, 2015

Registered at 3200 CANYON LAKE DR, RAPID CITY, SD 577028114 (Tel: 6053552500)

πŸ“
Business Mailing Address (Initial Record) September 11, 2015

Registered at 3200 CANYON LAKE DR, RAPID CITY, SD 577028114

πŸ‘€
Provider Name / Credentials (Initial Record) September 11, 2015

Recorded as KIMBERLY HAWK EAGLE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2015

Licensed Practical Nurse (license number reported to NPPES: ND L14719)

🟒
Initial NPI Registration & Enumeration September 11, 2015

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1467820118
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2015
Last Update: February 13, 2020
Sole Proprietor: No

Mailing Address

Po Box J

Fort Yates, ND 585380527

Phone: 7018543831

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.