Active NPI
Brooke Tedford
- Speech-Language Pathologist
- Rapid City, SD
National Provider Identifier
1548679707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 031-SLP
- Practice address
- 5312 Sheridan Lake Rd Ste 107
Rapid City, SD 57702-8345 - Phone
- (605) 787-3853
- Fax
- (605) 206-3256
- NPI assigned
- Aug 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 031-SLP | SD | Primary |
Addresses
Primary practice location
5312 Sheridan Lake Rd Ste 107
Rapid City, SD 57702-8345
Mailing address
5509 Sunburst Dr
Rapid City, SD 57702-8801
Phone (605) 381-0776
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
| License | State | Type | Specialty |
|---|---|---|---|
| 031-SLP | SD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Therapy Collective LLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Rapid City, SD
- NPI 1588516256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1548679707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 SUNBURST DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028801",
"telephone_number": "605-381-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5312 SHERIDAN LAKE RD STE 107",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028345",
"telephone_number": "605-787-3853",
"fax_number": "605-206-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEDFORD",
"first_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SD",
"license": "031-SLP",
"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 Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.