Organization Active NPI

Nolen Independent Management, LLC

  • Clinic/Center
  • Rapid City, SD
National Provider Identifier
1750089439
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NOLEN INDEPENDENT MANAGEMENT, LLC
Doing business as
NIM Medical
Practice address
625 1/2 Main St Ste 2
Rapid City, SD 57701-2758
Phone
(605) 431-6480
NPI assigned
Feb 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Mrs. Sara Nolen, MSNPI 1649400235
Title
Owner / Ceo
Phone
(605) 431-6480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Emergency Care Clinic/Center 261QE0002X
Health Service Clinic/Center 261QH0100X
Hearing and Speech Clinic/Center 261QH0700X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

625 1/2 Main St Ste 2
Rapid City, SD 57701-2758

Mailing address

625 1/2 Main St Ste 2
Rapid City, SD 57701-2758
Phone (605) 431-6480

Other names 1

  • NIM Medical Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D2246547Nolen Independent Management625 1/2 Main St Suite 2, Rapid City, SD 57701Certificate of waiverDec 27, 2027

National Provider Directory

National Provider Directory

Locations

625 Main St
Ste 2
Rapid City, SD 57701
Phone (605) 431-6480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1750089439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 1/2 MAIN ST STE 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012758",
            "telephone_number": "605-431-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 1/2 MAIN ST STE 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012758",
            "telephone_number": "605-431-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLEN INDEPENDENT MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "NOLEN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "605-431-6480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIM Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.