Shoe Fit RX Prof. LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHOE FIT RX PROF. LLC

Doing business as

Shoe Fit Rx

Practice address

2504 W 46TH St
Sioux Falls, SD 57105-6585

Phone

(605) 359-8554

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Amanda Jane Saeger

Title

Managing Partner

Phone

(605) 359-8554

Specialties & licenses 1

Addresses

Other names 1

• Shoe Fit Rx Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Lathen, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1700678877
  NPD (past)

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1225888787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 W 46TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056585",
            "telephone_number": "605-359-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 W 46TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056585",
            "telephone_number": "605-359-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE FIT RX PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "SAEGER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "605-359-8554"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoe Fit Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David A. Shields, MD
• Jamie Shields
• Frank Shin, MD
• Michael W Shirley, M.D.
• Benjamin J Shives, M.D.
• Chelse Shoemaker
• Sarah Shoffner, LCSW
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC

• Durable Medical Equipment & Medical Supplies in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Durable Medical Equipment & Medical Supplies in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.