Active NPI
Theracare, Inc.
- Speech-Language Pathologist
- Custer, SD
National Provider Identifier
1104888635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- N/A
- Legal business name
- THERACARE, INC.
- Practice address
- 602 Mount Rushmore Rd
Suite 2
Custer, SD 57730-2031 - Phone
- (605) 673-3488
- Fax
- (605) 673-3496
- NPI assigned
- Apr 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rhonda Kaye Nitschelm, CCC-SLP
- Title
- Director/Speech-Language Pathologis
- Phone
- (605) 673-3488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | N/A | SD | Primary |
Addresses
Primary practice location
602 Mount Rushmore Rd
Suite 2
Custer, SD 57730-2031
Mailing address
25354 Blue Skies Rd
Custer, SD 57730-7113
Phone (605) 673-3488
National Provider Directory
National Provider DirectoryLocations
602 Mount Rushmore Rd
Ste 2
Custer, SD 57730
Phone (605) 673-3488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Custer, SD
- NPI 1407988595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104888635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25354 BLUE SKIES RD",
"city": "CUSTER",
"state": "SD",
"postal_code": "577307113",
"telephone_number": "605-673-3488",
"fax_number": "605-673-3496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 MOUNT RUSHMORE RD",
"address_2": "SUITE 2",
"city": "CUSTER",
"state": "SD",
"postal_code": "577302031",
"telephone_number": "605-673-3488",
"fax_number": "605-673-3496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERACARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NITSCHELM",
"authorized_official_first_name": "RHONDA",
"authorized_official_middle_name": "KAYE",
"authorized_official_title_or_position": "DIRECTOR/SPEECH-LANGUAGE PATHOLOGIS",
"authorized_official_telephone_number": "605-673-3488",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "SD",
"license": "N/A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Custer, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.