Active NPI
Annette Priebe, OTR/L
- Occupational Therapist
- Chamberlain, SD
National Provider Identifier
1770675233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0174
- Practice address
- 200 Paul Gust Rd
Chamberlain, SD 57325-1031 - Phone
- (605) 234-1287
- Fax
- (605) 234-1288
- NPI assigned
- Sep 29, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0174 | SD | Primary |
Addresses
Primary practice location
200 Paul Gust Rd
Chamberlain, SD 57325-1031
Mailing address
PO Box 97
Chamberlain, SD 57325-0097
Phone (605) 234-1287
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4996061 | Other | SD | WELLMARK BC/BS |
| 5834160 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101207000658 | SD | Practitioner - Occupational Therapist in Private Practice | 4587707971 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0174 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Queen of Peace | Current | Accepting new patients | |
| Avera Queen of Peace | Current | Accepting new patients | |
| Avera Queen of Peace | Current | Accepting new patients |
Locations
200 Paul Gust Rd
Ste 109
Chamberlain, SD 57325
Phone (605) 234-0165
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
Organizations & group practices 13
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.
-
- Critical Access Hospital
- Wessington Springs, SD
- NPI 1316942204
-
- Diagnostic Radiology Physician
- Mitchell, SD
- NPI 1053827634
-
- Surgery Physician
- Mitchell, SD
- NPI 1134326861
-
- Skilled Nursing Facility
- Mitchell, SD
- NPI 1144225129
-
- Medicare Defined Swing Bed Hospital Unit
- De Smet, SD
- NPI 1255500534
-
- Medicare Defined Swing Bed Hospital Unit
- Mitchell, SD
- NPI 1386305829
-
- Critical Access Hospital
- De Smet, SD
- NPI 1710155460
-
- Prosthetic/Orthotic Supplier
- Mitchell, SD
- NPI 1710184569
-
- Community/Retail Pharmacy
- Mitchell, SD
- NPI 1710359252
-
- Medicare Defined Swing Bed Hospital Unit
- Wessington Springs, SD
- NPI 1942205646
-
- Critical Access Hospital
- Mitchell, SD
- NPI 1992466635
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Creighton University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera Queen of Peace
Practice addresses (Care Compare)
200 Paul Gust Rd
Suite 109
Chamberlain, SD 57325-1021
Phone (605) 234-0165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770675233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97",
"city": "CHAMBERLAIN",
"state": "SD",
"postal_code": "573250097",
"telephone_number": "605-234-1287",
"fax_number": "605-234-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PAUL GUST RD",
"city": "CHAMBERLAIN",
"state": "SD",
"postal_code": "573251031",
"telephone_number": "605-234-1287",
"fax_number": "605-234-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIEBE",
"first_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "4996061",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5834160",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chamberlain, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.