Organization Active NPI

Rural Roots Private Nursing, PLLC

  • Nursing Care Agency
  • Twin Brooks, SD
National Provider Identifier
1073441697
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
RURAL ROOTS PRIVATE NURSING, PLLC
Practice address
47169 US Highway 12
Twin Brooks, SD 57269-5805
Phone
(712) 251-3796
NPI assigned
May 12, 2026
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Jennifer Tillma, RNNPI 1245168343
Title
Managing Member
Phone
(712) 251-3796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

47169 US Highway 12
Twin Brooks, SD 57269-5805

Mailing address

47169 US Highway 12
Twin Brooks, SD 57269-5805
Phone (712) 251-3796

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1073441697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47169 US HIGHWAY 12",
            "city": "TWIN BROOKS",
            "state": "SD",
            "postal_code": "572695805",
            "telephone_number": "712-251-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47169 US HIGHWAY 12",
            "city": "TWIN BROOKS",
            "state": "SD",
            "postal_code": "572695805",
            "telephone_number": "712-251-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL ROOTS PRIVATE NURSING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "TILLMA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "712-251-3796",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Brooks, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.