SD Telehealth, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SD TELEHEALTH, PLLC

Practice address

836 Flamingo Dr
Rapid City, SD 57701-7004

Phone

(605) 517-1064

NPI assigned

Jul 21, 2023

Last updated

Aug 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amelia Spears

Title

Administrative Clerk

Phone

(605) 517-1064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1588344857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FLAMINGO DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017004",
            "telephone_number": "605-517-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FLAMINGO DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017004",
            "telephone_number": "605-517-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD TELEHEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE CLERK",
        "authorized_official_telephone_number": "605-517-1064"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Dakota

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