Jennifer Opbroek, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R057048 Issued in SD

Practice address

725 Indiana St
Rapid City, SD 57701-5858

Phone

(605) 348-5885

NPI assigned

Feb 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1689373524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 TOWNSEND ST",
            "city": "SUMMERSET",
            "state": "SD",
            "postal_code": "577189790",
            "telephone_number": "605-660-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 INDIANA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015858",
            "telephone_number": "605-348-5885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Charles St",
            "address_purpose": "LOCATION",
            "city": "Deadwood",
            "state": "SD",
            "postal_code": "577321303",
            "country_code": "US",
            "telephone_number": "605-717-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPBROEK",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R057048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA BOARD OF NURSING",
            "identifier": "R057048",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.