Active NPI
Jennifer Powell
- Surgical Technologist
- Rapid City, SD
National Provider Identifier
1629489091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- APPLYING
- Practice address
- 1600 Mountain View Rd Ste 108
Rapid City, SD 57702-4354 - Phone
- (605) 343-7295
- NPI assigned
- May 19, 2014
- Last updated
- May 19, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | APPLYING | Primary |
Addresses
Primary practice location
1600 Mountain View Rd Ste 108
Rapid City, SD 57702-4354
Mailing address
1600 Mountain View Rd Ste 108
Rapid City, SD 57702-4354
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1629489091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 MOUNTAIN VIEW RD STE 108",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577024354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MOUNTAIN VIEW RD STE 108",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577024354",
"telephone_number": "605-343-7295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": "APPLYING",
"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 May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.