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PRAIRIE PHOENIX PLLC
NPI 1942875166
Nurse Practitioner - Family in Flandreau, SD

Active since May 20, 2021
120 N WIND ST, FLANDREAU, SD 57028(605) 428-3040 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2021, May 20, 2021 (2 updates tracked since 2021).

About Prairie Phoenix Pllc NPPES

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

PRAIRIE PHOENIX PLLC (NPI 1942875166) is a healthcare organization registered as a family in Flandreau, South Dakota and active in the NPI registry since May 2021. The organization lists Abbey Kitto, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1942875166
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRAIRIE PHOENIX PLLC
Location Address120 N WIND STFlandreau, SD 57028-1245
Mailing Address330 W 10th St Apt 6Dell Rapids, SD 57022-1524 · (605) 428-3040
Phone(605) 428-3040
Organization SubpartNo
Authorized OfficialAbbey KittoAuthorized Official · (605) 428-3040
Enumeration DateMay 20, 2021
Last NPPES UpdateMay 28, 20212 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1942875166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
120 N WIND ST, Flandreau, SD 57028
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Other Identifiers 1

Other363LF0000XSD · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Prairie Phoenix PLLC's NPI number?

The NPI number for Prairie Phoenix PLLC is 1942875166. It was assigned to this organization in the NPPES registry on May 20, 2021.

Where is Prairie Phoenix PLLC located?

Prairie Phoenix PLLC is located at 120 N Wind St, Flandreau, SD 57028. The listed phone number is (605) 428-3040.

What is Prairie Phoenix PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Prairie Phoenix PLLC was last updated on May 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.