MEDICARE: CATHERINE J DICE RN,CCT,RDCS,RCS,LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R028207	SD
2	246X00000X	Cardiovascular Specialist/Technologist		SD
3	246XS1301X	Sonography Specialist/Technologist Cardiovascular

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0002272	OTHER	SD	SOUTH DAKOTA BLUE SHIELD

General Provider Information

NPI Number	:	1366610032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE J DICE RN,CCT,RDCS,RCS,LPN

Provider Business Mailing Address
First Line	:	1716 S MARION RD
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-3643
Country	:	US
Telephone Number	:	605-215-8225
Fax Number	:	605-215-8225

Provider Business Practice Location Address
First Line	:	1716 S MARION RD
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-3643
Country	:	US
Telephone Number	:	605-543-5026
Fax Number	:	605-543-5068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	06/03/2026

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