Individual provider Active NPI

Ruth Ellen Galbraith, CNP

  • Nurse Practitioner
  • Winner, SD
National Provider Identifier
1750331591
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000182 Issued in SD
Practice address
1436 E 10TH St Ste 2
Winner, SD 57580-2875
Phone
(605) 842-2443
Fax
(605) 842-1650
NPI assigned
May 11, 2006
Last updated
May 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP000182 SD Primary

Addresses

Primary practice location

1436 E 10TH St Ste 2
Winner, SD 57580-2875

Mailing address

1436 E 10TH St Ste 2
PO Box 705
Winner, SD 57580-2875
Phone (605) 842-2443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000198 SD Practitioner - Nurse Practitioner 1153420757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP000182SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Feb 1, 2007 Accepting new patients
Avera McKennan CurrentSince Feb 1, 2007 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

1436 E 10th St
Ste 2
Winner, SD 57580
Phone (605) 840-8586

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1750331591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 E 10TH ST STE 2",
            "address_2": "PO BOX 705",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802875",
            "telephone_number": "605-842-2443",
            "fax_number": "605-842-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 E 10TH ST STE 2",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802875",
            "telephone_number": "605-842-2443",
            "fax_number": "605-842-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBRAITH",
        "first_name": "RUTH",
        "middle_name": "ELLEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winner, SD

Sources for this page

Verify at the official NPI Registry.