Neurology Associates PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROLOGY ASSOCIATES PC

Practice address

1301 S Cliff Ave
Suite 506
Sioux Falls, SD 57105-1023

Phone

(605) 335-0844

Fax

(605) 977-1715

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Shelly Hagen

Title

Office Manager

Phone

(605) 782-8949

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1295741007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE",
            "address_2": "SUITE 506",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051053",
            "telephone_number": "605-335-0844",
            "fax_number": "605-977-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE",
            "address_2": "SUITE 506",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051023",
            "telephone_number": "605-335-0844",
            "fax_number": "605-977-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-782-8949"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15100",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GROUP",
            "identifier": "0000102",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15050",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GROUP",
            "identifier": "90901PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GROUP",
            "identifier": "0000102",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301512200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Dekker Nettleman, M.D.
• Danette Neucom, MA
• Alison Dawn Neufeld, CNM
• Emily Audrey Neugebauer
• Kristina Neumann, OTD, OTR/L
• Neuropsychology Consultants LLC
• Neurotech, LLC
• New Directions Counseling LLC
• New Growth Mental Health, LLC
• New Horizon Mental Health & Wellness

• Neurology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Neurology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.