Oglala Lakota College- Head Start/ Early Head Start Program

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

1011-8308-RS Issued in SD

Legal business name

OGLALA LAKOTA COLLEGE- HEAD START/ EARLY HEAD START PROGRAM

Practice address

490 Piya Wiconi Road
Kyle, SD 57752

Phone

(605) 455-6125

Fax

(605) 455-6116

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandee Palmer

Title

Health Coordinator

Phone

(605) 455-6125

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1841508074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "address_2": "490 PIYA WICONI ROAD",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "57752",
            "telephone_number": "605-455-6125",
            "fax_number": "605-455-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 PIYA WICONI ROAD",
            "city": "KYLE",
            "state": "SD",
            "postal_code": "57752",
            "telephone_number": "605-455-6125",
            "fax_number": "605-455-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGLALA LAKOTA COLLEGE- HEAD START/ EARLY HEAD START PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_title_or_position": "HEALTH COORDINATOR",
        "authorized_official_telephone_number": "605-455-6125"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "SD",
            "license": "1011-8308-RS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward McConkey, PHARMD
• Angel N Mills, LPC
• Kimberly Sue Montileaux, DPM
• Frances Morgan, RN
• Jessica Ann Nelson, DNP, DNP
• Beth Marie Perkins, REGISTERED NURSE-PHN
• Pine Ridge Indian Health Service Hospital (Kyle Health Center)
• Andrew Scott Qualm, O.D.
• Diane M Reeves, PA-C
• Juliana Marie Reser, MD

• Local Education Agency (LEA) in Kyle, SD
• Providers in Kyle, SD by specialty
• Local Education Agency (LEA) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.