Active NPI
Lorraine Dorothy Gukeisen, RN
- Medical-Surgical Registered Nurse
- Deadwood, SD
National Provider Identifier
1003592114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- R057780
- Practice address
- 61 Charles St
Deadwood, SD 57732-1303 - Phone
- (605) 717-6000
- NPI assigned
- Jun 23, 2023
- Last updated
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | R057780 | SD | Primary |
Addresses
Primary practice location
61 Charles St
Deadwood, SD 57732-1303
Mailing address
21215 Last Chance TRL
Lead, SD 57754-3717
Phone (719) 337-3464
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 |
|---|---|---|---|
| R057780 | SD | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1003592114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21215 LAST CHANCE TRL",
"city": "LEAD",
"state": "SD",
"postal_code": "577543717",
"telephone_number": "719-337-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 CHARLES ST",
"city": "DEADWOOD",
"state": "SD",
"postal_code": "577321303",
"telephone_number": "605-717-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUKEISEN",
"first_name": "LORRAINE",
"middle_name": "DOROTHY",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "SD",
"license": "R057780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deadwood, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.