Brooke Opdahl

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0751 Issued in SD

Practice address

1101 N Dakota St
Vermillion, SD 57069

Phone

(605) 881-5148

NPI assigned

Mar 4, 2025

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1568260818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N NORBECK ST APT 201",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N DAKOTA ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "57069",
            "telephone_number": "605-881-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPDAHL",
        "first_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "0751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Lee Olsen, ATC
• Jonathan James Olson, M.D.
• Mary J Olson, M.D.
• Megan Annlee Olson
• Thomas Harry Olson, M.D.
• Crystal Lee Paden, D.C.
• Michael Patrick Paden, D.C.
• Juliana Marie Paquette
• Chan J. Park, MD
• Johanna Christine Parker, RD

• Athletic Trainer in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Athletic Trainer in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.