Amber Rose Eggert, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CHW508 Issued in SD

Practice address

22 Waterloo St
Rapid City, SD 57701-1656

Phone

(605) 718-4870

NPI assigned

Feb 27, 2023

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellspring

  • Community Health Worker
  • Rapid City, SD
  • NPI 1134903487
  NPD Authorized official
• Wellspring, Inc.

  • Mental Health Counselor
  • Rapid City, SD
  • NPI 1851059208
  NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1508565631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WATERLOO ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011656",
            "telephone_number": "605-718-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WATERLOO ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011656",
            "telephone_number": "605-718-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGERT",
        "first_name": "AMBER",
        "middle_name": "ROSE",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "SD",
            "license": "CHW508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891823332",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianne Edwards
• David P Edwards, CRNA
• Holly Edwards
• Randall Lee Edwards, O.D.
• Kelsey Marie Egan
• Ehc Rapid City LLC
• Holly Ann Ehresmann, LMT
• Bradley Kenneth Eichhorn, MD
• Brook Matthew Eide, MD
• Danielle Eide

• Community Health Worker in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Community Health Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.