Active NPI
Brea Norder, RN, BSN
- Registered Nurse
- McLaughlin, SD
National Provider Identifier
1720518681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R048463
- Practice address
- 701 E 6TH St
McLaughlin, SD 57642 - Phone
- (605) 823-4458
- NPI assigned
- Jun 14, 2017
- Last updated
- Jun 14, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R048463 | SD | Primary |
Addresses
Primary practice location
701 E 6TH St
McLaughlin, SD 57642
Mailing address
PO Box 72
Glenham, SD 57631
Other names 1
- Brea Perman
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R048463 | SD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497398400000",
"number": "1720518681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72",
"city": "GLENHAM",
"state": "SD",
"postal_code": "57631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E 6TH ST",
"city": "MCLAUGHLIN",
"state": "SD",
"postal_code": "57642",
"telephone_number": "605-823-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDER",
"first_name": "BREA",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2017-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SD",
"license": "R048463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREA",
"last_name": "PERMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in McLaughlin, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.