SISSETON-WAHPETON OYATE ASNIYAPI FIELD HEALTH CLINIC
NPI 1629858519
Nurse Practitioner - Primary Care in Sisseton, SD

Active since September 29, 2023
114 LAKE TRAVERSE DR STE 102, SISSETON, SD 57262(833) 674-3444(605) 303-5295 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sisseton-wahpeton Oyate Asniyapi Field Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SISSETON-WAHPETON OYATE ASNIYAPI FIELD HEALTH CLINIC (NPI 1629858519) is a healthcare organization registered as a primary care in Sisseton, South Dakota and active in the NPI registry since September 2023. The organization lists Elise Johnson, Swo Tribal Health Director, as its authorized official.

NPPES Registry Identity

NPI1629858519
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameSISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
Location Address114 LAKE TRAVERSE DR STE 102Sisseton, SD 57262-7046
Mailing AddressPo Box 509Sisseton, SD 57262-0509 · (605) 742-3697 · Fax (605) 698-4239
Fax(605) 303-5295
Organization SubpartYes
Authorized OfficialElise JohnsonSwo Tribal Health Director · (605) 698-8315
Enumeration DateSeptember 29, 2023
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
NPI 1629858519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
114 LAKE TRAVERSE DR STE 102, Sisseton, SD 57262

Other Names 1

Doing Business AsSisseton-wahpeton Oyate Asniyapi Field Health Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
114 LAKE TRAVERSE DR STE 102
SISSETON, SD 57262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sisseton Wahpeton Oyate Of The Lake Traverse Reservation's NPI number?

The NPI number for Sisseton Wahpeton Oyate Of The Lake Traverse Reservation is 1629858519. It was assigned to this organization in the NPPES registry on September 29, 2023. The provider is doing business as Sisseton-Wahpeton Oyate Asniyapi Field Health Clinic.

Where is Sisseton Wahpeton Oyate Of The Lake Traverse Reservation located?

Sisseton Wahpeton Oyate Of The Lake Traverse Reservation is located at 114 Lake Traverse Dr Ste 102, Sisseton, SD 57262. The listed phone number is (833) 674-3444.

What is Sisseton Wahpeton Oyate Of The Lake Traverse Reservation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Sisseton Wahpeton Oyate Of The Lake Traverse Reservation was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.