Individual provider Active NPI

Heidi Rubins

  • Clinical Social Worker
  • Rapid City, SD
National Provider Identifier
1982829974
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1827 Issued in SD
Practice address
3625 5TH St
Rapid City, SD 57701-6015
Phone
(605) 490-3592
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1827 SD Primary

Addresses

Primary practice location

3625 5TH St
Rapid City, SD 57701-6015

Mailing address

3625 5TH St
Rapid City, SD 57701-6015
Phone (605) 490-3592

Other practice location 1

350 Elk St
Rapid City, SD 57701-7351
Phone (605) 343-7262

Other identifiers 1

IdentifierTypeStateIssuer
4994150OtherSDBLUE 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1827SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Management Systems, Inc. PastSince Nov 13, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1982829974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016015",
            "telephone_number": "605-490-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016015",
            "telephone_number": "605-490-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Elk St",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017351",
            "country_code": "US",
            "telephone_number": "605-343-7262",
            "fax_number": "605-343-7293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBINS",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "1827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4994150",
            "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 May 8, 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.

Verify at the official NPI Registry.