NPIMap

Organization Active NPI

State of South Dakota

  • Speech-Language Pathologist
  • Sioux Falls, SD
National Provider Identifier
1497871933
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
STATE OF SOUTH DAKOTA
Practice address
520 S 1St Ave
Sioux Falls, SD 57104-6902
Phone
(605) 677-5474
Fax
(605) 677-5767
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Ms. Teri James Bellis, PHD,CCC-A,FAAA,F-ASH
Title
Associate Prof, Department Chair
Phone
(605) 677-5474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X SD
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

520 S 1St Ave
Sioux Falls, SD 57104-6902

Mailing address

414 E Clark St
Noteboom Hall
Vermillion, SD 57069-2307
Phone (605) 677-5474

Other identifiers 1

IdentifierTypeStateIssuer
5830560MedicaidSD

Other names 1

  • USD Scottish Rite SF Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SD Dept of HLTH Dba CHI35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

520 S 1st Ave
Sioux Falls, SD 57104
Phone (605) 336-5621

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1497871933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E CLARK ST",
            "address_2": "NOTEBOOM HALL",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692307",
            "telephone_number": "605-677-5474",
            "fax_number": "605-677-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 1ST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046902",
            "telephone_number": "605-677-5474",
            "fax_number": "605-677-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "BELLIS",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ASSOCIATE PROF, DEPARTMENT CHAIR",
        "authorized_official_telephone_number": "605-677-5474",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD,CCC-A,FAAA,F-ASH"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "SD",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5830560",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USD Scottish Rite SF Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.