Active NPI
Rose Lammers
- Physician Assistant
- Rapid City, SD
National Provider Identifier
1760601587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 53253
- Practice address
- 350 Elk St
Rapid City, SD 57701-7351 - Phone
- (605) 343-7262
- Fax
- (605) 343-7293
- NPI assigned
- Apr 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 35 | SD | |
| Physician Assistant | 363A00000X | 53253 | CA | Primary |
Addresses
Primary practice location
350 Elk St
Rapid City, SD 57701-7351
Mailing address
PO Box 156
Hana, HI 96713-0156
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4997127 | Other | SD | BLUE CROSS/BLUE SHIELD |
| 4997140 | Other | SD | BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53253 | CA | MD | Physician Assistant |
| 35 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Management Services | Past | Accepting new patients | |
| Behavior Management Systems, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Hot Springs, SD
- NPI 1396105102
-
- Community/Behavioral Health Agency
- Rapid City, SD
- NPI 1295878122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1760601587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 156",
"city": "HANA",
"state": "HI",
"postal_code": "967130156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ELK ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017351",
"telephone_number": "605-343-7262",
"fax_number": "605-343-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMMERS",
"first_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SD",
"license": "35",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "53253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "4997127",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "4997140",
"state": "SD"
}
],
"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 Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.