Lori Ranek, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0265 Issued in SD

Practice address

410 W 16TH Ave
Tyndall, SD 57066-2318

Phone

(605) 589-4602

Fax

(605) 589-3288

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: lori.ranek@avera.sdhealthlink.net

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1336183995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BON HOMME FAMILY PRACTICE",
            "address_2": "410 W 16TH AVE",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "57066",
            "telephone_number": "605-589-2190",
            "fax_number": "605-589-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 16TH AVE",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570662318",
            "telephone_number": "605-589-4602",
            "fax_number": "605-589-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANEK",
        "first_name": "LORI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "0265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "1044",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4996773",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6825990",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Lee Kudera
• Steve Mach, PT
• Shane Merchant, PA-C
• Erin Lynn Odens, PT
• Bradley Ramey
• Ann Marie Rohlfing, DPT
• Ashley Rose Runyon, CNP
• Angela Schnetzer, PA-C
• Lindsey Marie Sivertsen, D.C.
• St Michael'S Hospital, Inc.

• Family Medicine Physician in Tyndall, SD
• Providers in Tyndall, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.