Individual provider
RIKKI RAE FASTHORSE, RN
CMS NPPES lists RIKKI RAE FASTHORSE as an individual provider record with NPI 1003028598. The current record reports a primary practice location in EAGLE BUTTE, SD and primary taxonomy code 163W00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location317 MAIN STREETEAGLE BUTTE, SD 576251012
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
163W00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- May 4, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.