MRS. BAILEY B TETRAULT CNP
NPI 1639930902
Nurse Practitioner - Family in Fort Meade, SD

Q: What is Bailey Tetrault's NPI number?

The NPI number for Bailey Tetrault is 1639930902. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Q: What is Bailey Tetrault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Bailey Tetrault was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2024

113 COMANCHE RD # R0AD, FORT MEADE, SD 57741(605) 347-2511 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mrs. Bailey B Tetrault Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BAILEY B TETRAULT CNP (NPI 1639930902) is an individual family provider in Fort Meade, South Dakota, licensed in South Dakota (CP003084) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1639930902

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. BAILEY B TETRAULTCredential: CNP

Location Address113 COMANCHE RD # R0ADFort Meade, SD 57741-1002

Mailing Address1906 Absaroka StSpearfish, SD 57783-3313 · (605) 478-0074

Phone(605) 347-2511

Sole ProprietorNo

Enumeration DateJanuary 23, 2024

NPPES CertifiedJanuary 23, 2024

✔ NPI 1639930902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SD · CP003084

113 COMANCHE RD # R0AD, Fort Meade, SD 57741

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bailey Tetrault's NPI number?

The NPI number for Bailey Tetrault is 1639930902. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Bailey Tetrault located?

Bailey Tetrault practices at 113 Comanche Rd # R0ad, Fort Meade, SD 57741. The listed phone number is (605) 347-2511.

What is Bailey Tetrault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bailey Tetrault was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.