Individual provider Active NPI

Leslie Ahlm, REGISTERED NURSE

  • Registered Nurse
  • Rosebud, SD
National Provider Identifier
1184860116
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
66042 Issued in NE
Practice address
Hwy 18 Soldier Creek Road
Rosebud IHS Hospital
Rosebud, SD 57570
Phone
(605) 747-2231
Fax
(605) 747-2216
NPI assigned
Dec 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 66042 NE Primary

Addresses

Primary practice location

Hwy 18 Soldier Creek Road
Rosebud IHS Hospital
Rosebud, SD 57570

Mailing address

Hwy 18 Soldier Creek Road
Rosebud IHS Hospital
Rosebud, SD 57570
Phone (605) 747-2231

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

State licenses

LicenseStateTypeSpecialty
66042NEMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1184860116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HWY 18 SOLDIER CREEK ROAD",
            "address_2": "ROSEBUD IHS HOSPITAL",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "57570",
            "telephone_number": "605-747-2231",
            "fax_number": "605-747-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 18 SOLDIER CREEK ROAD",
            "address_2": "ROSEBUD IHS HOSPITAL",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "57570",
            "telephone_number": "605-747-2231",
            "fax_number": "605-747-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLM",
        "first_name": "LESLIE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "66042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosebud, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.