Black Hills Speech Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

09142861 Issued in SD

Legal business name

BLACK HILLS SPEECH INC

Practice address

12000 Nemo Rd
Nemo, SD 57759-7618

Phone

(605) 390-0833

NPI assigned

Dec 12, 2012

Last updated

Dec 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Terri Lynn Kussart, M.ED.CCC-SLPNPI 1427214980

Title

Speech Language Pathologist

Phone

(605) 390-0833

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terri Lynn Kussart, M.ED. CCC-SLP

  • Speech-Language Pathologist
  • Nemo, SD
  • NPI 1427214980
  NPD (past) Authorized official

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1063758456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 NEMO RD",
            "city": "NEMO",
            "state": "SD",
            "postal_code": "577597618",
            "telephone_number": "605-390-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 NEMO RD",
            "city": "NEMO",
            "state": "SD",
            "postal_code": "577597618",
            "telephone_number": "605-390-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS SPEECH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "KUSSART",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "605-390-0833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SD",
            "license": "09142861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5837050",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy John Dodson, RPH
• Deborah Kullerd, MD
• Terri Lynn Kussart, M.ED. CCC-SLP

• Early Intervention Provider Agency in Nemo, SD
• Providers in Nemo, SD by specialty
• Early Intervention Provider Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.