Nikki Soulek

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

0951 Issued in SD

Practice address

200 E Havens Ave
Mitchell, SD 57301-7284

Phone

(605) 995-6370

Fax

(605) 995-6374

NPI assigned

May 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1275912511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E HAVENS AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573017284",
            "telephone_number": "605-995-6370",
            "fax_number": "605-995-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HAVENS AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573017284",
            "telephone_number": "605-995-6370",
            "fax_number": "605-995-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULEK",
        "first_name": "NIKKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SD",
            "license": "0951",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "SD",
            "license": "0951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Jean Smith, LMT
• Kelly Don Smith, MD
• Pierce Jeffrey Smith, DDS
• Kathleen Jessica Sonleitner, DC
• Laurie Lynn Sorensen, SLP
• Southeast Dakota Home Care
• Sport Clinic, PC
• Kara Stange, MA, CCC-SLP
• State of South Dakota Division of Oasi
• Victoria Steffes, RBT

• Gerontology Occupational Therapist in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Gerontology Occupational Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.