Active NPI
Erin Desmond
- Behavior Technician
- Rapid City, SD
National Provider Identifier
1275166555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-112821
- Practice address
- 2475 W Chicago St
Rapid City, SD 57702-2467 - Phone
- (605) 206-5004
- Fax
- (605) 646-4840
- NPI assigned
- Feb 14, 2020
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-112821 | Primary |
Addresses
Primary practice location
2475 W Chicago St
Rapid City, SD 57702-2467
Mailing address
2475 W Chicago St
Rapid City, SD 57702-2467
Phone (605) 206-5004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-112821 | Other | RBT |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Hills Behavior, LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1275166555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2475 W CHICAGO ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577022467",
"telephone_number": "605-206-5004",
"fax_number": "605-646-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 W CHICAGO ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577022467",
"telephone_number": "605-206-5004",
"fax_number": "605-646-4840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESMOND",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-20-112821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-20-112821",
"state": null
}
],
"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 Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.