Individual provider Active NPI

Cortney Fegueroa

  • Reflexologist
  • Rapid City, SD
National Provider Identifier
1306605050
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
MT11957 Issued in SD
Practice address
3535 Sturgis Rd
Rapid City, SD 57702-2345
Phone
(605) 391-1678
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ReflexologistGroup: 193200000X MULTI-SPECIALTY GROUP 173C00000X MT11957 SD Primary

Addresses

Primary practice location

3535 Sturgis Rd
Rapid City, SD 57702-2345

Mailing address

3535 Sturgis Rd
Rapid City, SD 57702-2345
Phone (605) 391-1678

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

LicenseStateTypeSpecialty
MT11957SDMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1306605050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 STURGIS RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022345",
            "telephone_number": "605-391-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 STURGIS RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022345",
            "telephone_number": "605-391-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEGUEROA",
        "first_name": "CORTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": "SD",
            "license": "MT11957",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2024; 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.