Active NPI
Juanita Lind
- Nurse's Aide
- Eagle Butte, SD
National Provider Identifier
1639570419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A009692
- Practice address
- .24276 166TH Airport Rd.
24276 166TH Airport Rd.
Eagle Butte, SD 57625 - Phone
- (605) 964-7724
- Fax
- (605) 964-0545
- NPI assigned
- Sep 11, 2014
- Last updated
- Sep 11, 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A009692 | SD | Primary |
Addresses
Primary practice location
.24276 166TH Airport Rd.
24276 166TH Airport Rd.
Eagle Butte, SD 57625
Mailing address
24276 Airport Rd,
24276 Airport Rd.
Eagle Butte, SD 57625
Phone (605) 964-7724
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 |
|---|---|---|---|
| A009692 | SD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1639570419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24276 AIRPORT RD,",
"address_2": "24276 AIRPORT RD.",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "57625",
"telephone_number": "605-964-7724",
"fax_number": "605-964-0545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": ".24276 166TH AIRPORT RD.",
"address_2": "24276 166TH AIRPORT RD.",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "57625",
"telephone_number": "605-964-7724",
"fax_number": "605-964-0545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIND",
"first_name": "JUANITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "SD",
"license": "A009692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Butte, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.