Oglala Sioux Tribe

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OGLALA SIOUX TRIBE

Practice address

1588 US-18
Pine Ridge, SD 57770

Phone

(214) 738-8707

Fax

(866) 781-9370

NPI assigned

Oct 7, 2022

Organization subpart

No

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

Authorized official

Name

Kevin Killer

Title

President

Phone

(605) 864-8487

Specialties & licenses 1

Addresses

Other names 1

• OGLALA SIOUX TRIBE CONTINUUM OF CARE CENTER Other name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Anne Coulter Danner, CNM

  • Midwife
  • Rapid City, SD
  • NPI 1780810895
  NPD (past)
• Jan C Mangelsen, CNM

  • Midwife
  • Rapid City, SD
  • NPI 1720095474
  NPD (past)
• Diane Theresa Dulude, CNM

  • Advanced Practice Midwife
  • Damariscotta, ME
  • NPI 1518974419
  NPD (past)

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1932824331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 US-18",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "57770",
            "telephone_number": "214-738-8707",
            "fax_number": "866-781-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 US-18",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "57770",
            "telephone_number": "214-738-8707",
            "fax_number": "866-781-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGLALA SIOUX TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "KILLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-864-8487"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OGLALA SIOUX TRIBE CONTINUUM OF CARE CENTER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OGLALA SIOUX TRIBE CONTINUUM OF CARE CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Oglala Lakota Air Rescue, LLC
• Oglala Sioux Lakota Housing
• Oglala Sioux Tribe
• Oglala Sioux Tribe
• Oglala Sioux Tribe
• Oglala Sioux Tribe Health Administration
• Oglala Sioux Tribe Otitis Media
• Ost Ambulance Service
• Ost CHR Program
• Amy Nicole Passero, RN

• Family Medicine Physician in Pine Ridge, SD
• Providers in Pine Ridge, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.