Active NPI
Kaylee Trottier
- Psychologist
- Rapid City, SD
National Provider Identifier
1255757910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 522-PROV
- Practice address
- 7110 Jordan Dr
Rapid City, SD 57702-8738 - Phone
- (605) 791-7414
- NPI assigned
- Mar 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 522-PROV | SD | Primary |
Addresses
Primary practice location
7110 Jordan Dr
Rapid City, SD 57702-8738
Mailing address
624 Northern Lights Blvd
Box Elder, SD 57719-4305
Phone (605) 431-7495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522-PROV | Other | SD | SOUTH DAKOTA LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 522-PROV | SD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1255757910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 NORTHERN LIGHTS BLVD",
"city": "BOX ELDER",
"state": "SD",
"postal_code": "577194305",
"telephone_number": "605-431-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7110 JORDAN DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028738",
"telephone_number": "605-791-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTTIER",
"first_name": "KAYLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-05",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SD",
"license": "522-PROV",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH DAKOTA LICENSE",
"identifier": "522-PROV",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.