Individual provider Active NPI

June Copperstad

  • Community Health Worker
  • Sioux Falls, SD
National Provider Identifier
1164271896
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
621 E Presentation St
Sioux Falls, SD 57104-0820
Phone
(605) 221-2346
Fax
(605) 221-2404
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X SD Primary

Addresses

Primary practice location

621 E Presentation St
Sioux Falls, SD 57104-0820

Mailing address

621 E Presentation St
Sioux Falls, SD 57104-0820
Phone (605) 221-2346

Other names 1

  • June Copperfield Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Services of SD PastSince May 19, 2024 Accepting new patients
Lutheran Social Services of South Dakota PastSince May 19, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1164271896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E PRESENTATION ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571040820",
            "telephone_number": "605-221-2346",
            "fax_number": "605-221-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E PRESENTATION ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571040820",
            "telephone_number": "605-221-2346",
            "fax_number": "605-221-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPERSTAD",
        "first_name": "JUNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNE",
            "last_name": "COPPERFIELD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.