NPIMap

Organization Active NPI

Sisseton Wahpeton Oyate of the Lake Traverse Reservation

  • Doula
  • Agency Village, SD
National Provider Identifier
1306708656
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
Practice address
12554 Bia Highway 711
Agency Village, SD 57262-7409
Phone
(605) 698-3911
NPI assigned
Nov 25, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Elise Johnson
Title
Tribal Health Director
Phone
(605) 742-3909

National Provider Directory

National Provider Directory
Tax ID family
Dakotah Pride Center Sisseton Wahpeton Oyate7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

114 Lake Traverse Dr
Sisseton, SD 57262
Phone (605) 419-1116

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

12554 Bia Highway 711
Agency Village, SD 57262-7409

Mailing address

PO Box 509
Agency Village, SD 57262-0509
Phone (605) 698-3911

Other practice location 1

114 Lake Traverse Dr
Sisseton, SD 57262-7046
Phone (605) 419-3793

Other practice location 2

100 Lake Traverse Dr
Sisseton, SD 57262-7046
Phone (605) 698-7606

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2025.

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1306708656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "AGENCY VILLAGE",
            "state": "SD",
            "postal_code": "572620509",
            "telephone_number": "605-698-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 BIA HIGHWAY 711",
            "city": "AGENCY VILLAGE",
            "state": "SD",
            "postal_code": "572627409",
            "telephone_number": "605-698-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Lake Traverse Dr",
            "address_purpose": "LOCATION",
            "city": "Sisseton",
            "state": "SD",
            "postal_code": "572627046",
            "country_code": "US",
            "telephone_number": "605-419-3793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Lake Traverse Dr",
            "address_purpose": "LOCATION",
            "city": "Sisseton",
            "state": "SD",
            "postal_code": "572627046",
            "country_code": "US",
            "telephone_number": "605-698-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "TRIBAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "605-742-3909"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agency Village, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.