Individual provider · Type 1 NPI

Jacquelyne Gonzalez, CCMA

Nurse's Aide · Rapid City, SD

NPI number 1801790811 Active

Practice location

308 Quincy St
Rapid City, SD 57701-2813

Call (605) 391-4863 Map

Fax (605) 343-7293

Mailing address

350 Elk St
Rapid City, SD 57701-7351

Specialties and licenses

Taxonomy	Code	License
Nurse's Aide Primary	376K00000X	None listed

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

23 other providers at this address

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About NPI 1801790811

Jacquelyne Gonzalez, CCMA's National Provider Identifier is 1801790811, issued on Oct 5, 2026. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Rapid City, SD. The record was last updated on Oct 5, 2026.