Healthcare Provider Details

I. General information

NPI: 1336085059
Provider Name (Legal Business Name): HIGHLAND HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10907 SOURDOUGH RD
BELLE FOURCHE SD
57717-6161
US

IV. Provider business mailing address

10907 SOURDOUGH RD
BELLE FOURCHE SD
57717-6161
US

V. Phone/Fax

Practice location:
  • Phone: 605-695-7977
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER KARP
Title or Position: MANAGING MEMBER
Credential:
Phone: 605-695-7977