Active NPI
Shelley Anne Stortz, NRP
- Paramedic
- Rapid City, SD
National Provider Identifier
1750168217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 19709
- Practice address
- 308 Quincy St
Rapid City, SD 57701-2813 - Phone
- (605) 391-4863
- Fax
- (605) 342-3692
- NPI assigned
- Sep 8, 2023
- 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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | 19709 | SD | Primary |
Addresses
Primary practice location
308 Quincy St
Rapid City, SD 57701-2813
Mailing address
308 Quincy St
Rapid City, SD 57701-2813
Phone (605) 391-4863
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19709 | SD | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1750168217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 QUINCY ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577012813",
"telephone_number": "605-391-4863",
"fax_number": "605-342-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 QUINCY ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577012813",
"telephone_number": "605-391-4863",
"fax_number": "605-342-3692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORTZ",
"first_name": "SHELLEY",
"middle_name": "ANNE",
"credential": "NRP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "SD",
"license": "19709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 8, 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.