Kendra E Lone Elk, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Pine Ridge, SD
NPI 1679735575 · NPPES record last updated Sep 19, 2012
Key facts
- NPI
- 1679735575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- SDRN R026838 (SD)
- Practice address
- East Hiway 18 Airport Road
Ost Health Administration
Pine Ridge, SD 57770-5011 - Phone
- (605) 867-1704
- Fax
- (605) 867-2063
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SDRN R026838 | SD | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oglala Sioux Tribe Health Administration | Past | Accepting new patients | |
| Oglala Sioux Tribe | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | SDRN R026838 | SD | Yes |
Addresses
Primary practice location
East Hiway 18 Airport Road
Ost Health Administration
Pine Ridge, SD 57770-5011
Mailing address
PO Box 5011
East Hiway 18 Airport Road
Pine Ridge, SD 57770-5011
Phone (605) 867-1704
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460439437 | Other | SD | NPI NUMBER |
Other providers in Pine Ridge, SD
- Jodi Lias
- Nora Somatra Lim
- Julia Nancy Littlehawk
- Joseph William Lliteras
- Wetu Wanahca Locust
- Jason Christian Lootens
- Sara Marie Lout
- Anderson Mabour
- John Medina
- Barbara Mellor
All providers in Pine Ridge, SD · Registered Nurse in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.