Renae Trudaeu

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT11046 Issued in SD

Practice address

1905 W 57TH St St 3
Sioux Falls, SD 57108

Phone

(605) 371-3533

Fax

(605) 371-3533

NPI assigned

Dec 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laura Berg, PC

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1992739437
  NPD
• Michelle Buseman DC PC

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1487576088
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1154917029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W 57TH ST ST 3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-371-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 57TH ST ST 3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-371-3533",
            "fax_number": "605-371-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDAEU",
        "first_name": "RENAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT11046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON MEDICARE PROVIDER",
            "identifier": "11046",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "address_1": "1905 W 57th St St 3",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "57108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Trierweiler, MD
• Stacey Lynn Tritz, PTA
• Colton Trowbridge, PHARMD
• Tru Massage Therapy LLC
• Tanya L Truckenmiller, PA-C
• True Health Chiropractic & Wellness
• True North Physical Therapy LLC
• Terry William Truex, ATC, RN
• Cruz Trujillo Rodriguez, MS, LPC, NCC
• Mallory Trumbull, OTR

• Massage Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.