Sage Kae Brooks
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Spearfish, SD
NPI 1750144457 · NPPES record last updated Feb 5, 2024
Key facts
- NPI
- 1750144457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1138 Crow Peak LN
Spearfish, SD 57783-8624 - Phone
- (605) 200-7243
- NPI assigned
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1138 Crow Peak LN
Spearfish, SD 57783-8624
Mailing address
1138 Crow Peak LN
Spearfish, SD 57783-8624
Phone (605) 200-7243
Other providers in Spearfish, SD
- Jaycee Breidenbach
- Tracie Erin Bren-Clegg
- Heather A Brewer
- Mark James Britzman
- Wesley W Broeder
- Keela Bruse
- Mark T. Buchman
- Denise L Byrd
- Rachel Byrum
- Anthony Cain
All providers in Spearfish, SD · Student in an Organized Health Care Education/Training Program 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 Feb 5, 2024. 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.