Kristin Lynne Pfeiff
Individual provider Active NPI Early Intervention Provider Agency · Twin Brooks, SD
NPI 1083025845 · NPPES record last updated May 14, 2014
Key facts
- NPI
- 1083025845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- 67327-3 (SD)
- Practice address
- 47049 152ND St
Twin Brooks, SD 57269-5800 - Phone
- (701) 367-5559
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67327-3 | SD | MD | Early Intervention Provider Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 67327-3 | SD | Yes |
Addresses
Primary practice location
47049 152ND St
Twin Brooks, SD 57269-5800
Mailing address
47049 152ND St
Twin Brooks, SD 57269-5800
Phone (701) 367-5559
Other providers in Twin Brooks, SD
All providers in Twin Brooks, SD · Early Intervention Provider Agency in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.