Active NPI
Radiant Health and Hormone Therapy, PLLC
- Women's Health Nurse Practitioner
- Brandon, SD
National Provider Identifier
1972213379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- Legal business name
- RADIANT HEALTH AND HORMONE THERAPY, PLLC
- Practice address
- 409 E Meadowlark Cir
Brandon, SD 57005-1082 - Phone
- (605) 254-4335
- Fax
- (844) 550-1755
- NPI assigned
- Nov 28, 2022
- Last updated
- Nov 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Morrell, CNP
- Title
- Owner
- Phone
- (605) 254-4335
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Women's Health Nurse Practitioner | 363LW0102X | Primary |
Addresses
Primary practice location
409 E Meadowlark Cir
Brandon, SD 57005-1082
Mailing address
409 E Meadowlark Cir
Brandon, SD 57005-1082
Phone (605) 254-4335
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Women's Health Nurse Practitioner
- Brandon, SD
- NPI 1548402340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1972213379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 E MEADOWLARK CIR",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051082",
"telephone_number": "605-254-4335",
"fax_number": "844-550-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 E MEADOWLARK CIR",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051082",
"telephone_number": "605-254-4335",
"fax_number": "844-550-1755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT HEALTH AND HORMONE THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A",
"authorized_official_last_name": "MORRELL",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-254-4335",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.