Active NPI
Center for Family Medicine
- Community Health Worker
- Sioux Falls, SD
National Provider Identifier
1235898073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- CENTER FOR FAMILY MEDICINE
- Practice address
- 1115 E 20TH St
Sioux Falls, SD 57105-1013 - Phone
- (605) 339-1783
- Fax
- (605) 367-7157
- NPI assigned
- Dec 9, 2021
- Last updated
- Jul 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rose Marie Fedt
- Title
- Business Office Supervisor
- Phone
- (605) 575-1608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
1115 E 20TH St
Sioux Falls, SD 57105-1013
Mailing address
1115 E 20TH St
Sioux Falls, SD 57105-1013
Phone (605) 339-1783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235898073 | Medicaid | SD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rose.fedt@c4fm.org | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Center for Family Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1164493672
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Rock Valley, IA
- NPI 1538151287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690416000000",
"number": "1235898073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 E 20TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051013",
"telephone_number": "605-339-1783",
"fax_number": "605-367-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 E 20TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051013",
"telephone_number": "605-339-1783",
"fax_number": "605-367-7157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-09",
"last_updated": "2023-07-27",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "FEDT",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
"authorized_official_telephone_number": "605-575-1608"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235898073",
"state": "SD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rose.fedt@c4fm.org",
"affiliation": "N",
"endpointDescription": "Roes Fedt Business Office Supervisor",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1115 E 20th St",
"city": "Sioux Falls",
"state": "SD",
"country_code": "US",
"postal_code": "571051013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.