Colleen R Hohm, RN
Individual provider Active NPI School Registered Nurse · Willow Lake, SD
NPI 1194593665 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1194593665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- R045455 (SD)
- Practice address
- 43048 186TH St
Willow Lake, SD 57278-5418 - Phone
- (605) 881-2442
- NPI assigned
- Dec 14, 2023
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R045455 | SD | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R045455 | SD | Yes |
Addresses
Primary practice location
43048 186TH St
Willow Lake, SD 57278-5418
Mailing address
400 Garfield Ave
Willow Lake, SD 57278-2322
Other providers in Willow Lake, SD
All providers in Willow Lake, SD · School Registered Nurse 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 Dec 14, 2023. 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.