SOUTH DAKOTA ACHIEVE (NPI# 1376675785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376675785 |
Entity Type | Organization |
Organization Name | SOUTH DAKOTA ACHIEVE |
Practice Address |
4100 S Western Ave Sioux Falls SD 57105-6620 |
Practice Telephone | 6053367100 |
Enumeration Date | 2007-03-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. ANNE RIECK MCFARLAND (PRESIDENT AND CEO) |
Authorized Official Telephone | 6053367100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
SD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 0180120 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114490133 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2019-01-03 |
1346769361 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2017-09-11 |
1528515368 | South Dakota Achieve | Case Management | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2016-09-09 |
1003040122 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2009-05-04 |
1548413735 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2008-10-31 |
1457504649 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2008-10-31 |
Street Address |
4100 S WESTERN AVE |
City | SIOUX FALLS |
State | SD |
Zip Code | 57105-6620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114490133 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2019-01-03 |
1346769361 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2017-09-11 |
1528515368 | South Dakota Achieve | Case Management | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2016-09-09 |
1154707149 | Lifescape | Case Management | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2015-08-03 |
1003040122 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2009-05-04 |
1548413735 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2008-10-31 |
1457504649 | South Dakota Achieve | Case Manager/Care Coordinator | 4100 S Western Ave, Sioux Falls, SD 57105-6620 | 2008-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
Find all providers in zip 57105 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538203211 | Huron Area Center for Independence | Clinic/Center | 258 3rd St Sw, Huron, SD 57350-2403 | 2007-02-16 |
1124540133 | Huron Area Center for Independence | Clinic/Center | 202 S Main St, Aberdeen, SD 57401-4155 | 2017-07-11 |
City | SIOUX FALLS |
Zip Code | 57105 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.