Prairie Innovations, LLC

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

Legal business name

PRAIRIE INNOVATIONS, LLC

Practice address

902 S Jay St
Aberdeen, SD 57401-6150

Phone

(605) 229-6850

Fax

(605) 225-1417

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Robert L Wetenkamp

Title

Owner

Phone

(605) 229-6850

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588760631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574020887",
            "telephone_number": "605-229-6850",
            "fax_number": "605-225-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S JAY ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574016150",
            "telephone_number": "605-229-6850",
            "fax_number": "605-225-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE INNOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WETENKAMP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-229-6850"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD DEPT OF SOCIAL SERVICE",
            "identifier": "11014231",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9560550",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Lynn Podoll
• Troy Podoll, HAD
• Donald Pollard Jr., DDS
• Jamie Portra, SLP
• Prairie Dermatology PC
• Prairie View Counseling LLC
• Michele R Profeta, RNFA
• Charles Xavier Pugsley, CNP
• Marie Quaschnick, CNP
• Anne Lee Quast, LPC

• Personal Emergency Response Attendant in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Personal Emergency Response Attendant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.