Active NPI
Nolen Independent Management, LLC
- Clinic/Center
- Rapid City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sara Nolen, MS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D2246547 | Nolen Independent Management | Certificate of waiver | Dec 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
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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.