Active NPI
Rikki Rae Fasthorse, RN
- Registered Nurse
- Eagle Butte, SD
National Provider Identifier
1003028598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R027379
- Practice address
- 317 Main Street
Eagle Butte, SD 57625-1012 - Phone
- (605) 964-3007
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R027379 | SD | Primary |
Addresses
Primary practice location
317 Main Street
Eagle Butte, SD 57625-1012
Mailing address
PO Box 1802
Eagle Butte, SD 57625-1802
Phone (605) 964-3007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R027379 | SD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1003028598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1802",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "576251802",
"telephone_number": "605-964-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 MAIN STREET",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "576251012",
"telephone_number": "605-964-3007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASTHORSE",
"first_name": "RIKKI",
"middle_name": "RAE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SD",
"license": "R027379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle Butte, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.