Individual provider Active NPI

Priscilla Ann Nez

  • Case Manager/Care Coordinator
  • Rapid City, SD
National Provider Identifier
1043945587
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
321 Kansas City St Ste 120
Rapid City, SD 57701-3086
Phone
(605) 391-4863
Fax
(605) 791-0434
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

321 Kansas City St Ste 120
Rapid City, SD 57701-3086

Mailing address

321 Kansas City St Ste 120
Rapid City, SD 57701-3086
Phone (605) 391-4863

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

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1043945587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 KANSAS CITY ST STE 120",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013086",
            "telephone_number": "605-391-4863",
            "fax_number": "605-791-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 KANSAS CITY ST STE 120",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013086",
            "telephone_number": "605-391-4863",
            "fax_number": "605-791-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZ",
        "first_name": "PRISCILLA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.