Individual provider Active NPI

Judy Lynn Spruhan, RN

  • Community Health Registered Nurse
  • Rosebud, SD
National Provider Identifier
1023151073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
R029601 Issued in SD
Practice address
Soldier Creek Road
Box 400
Rosebud, SD 57570-0400
Phone
(605) 747-2231
Fax
(605) 747-4245
NPI assigned
Feb 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R029601 SD Primary

Addresses

Primary practice location

Soldier Creek Road
Box 400
Rosebud, SD 57570-0400

Mailing address

PO Box 257
Rosebud, SD 57570-0257
Phone (605) 747-5927

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

LicenseStateTypeSpecialty
R029601SDMDCommunity Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023151073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700257",
            "telephone_number": "605-747-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOLDIER CREEK ROAD",
            "address_2": "BOX 400",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700400",
            "telephone_number": "605-747-2231",
            "fax_number": "605-747-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUHAN",
        "first_name": "JUDY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SD",
            "license": "R029601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosebud, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.