Healthcare Provider Details

I. General information

NPI: 1538872999
Provider Name (Legal Business Name): JODI RINEHART FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JODI OLSON

II. Dates (important events)

Enumeration Date: 12/30/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 W 2ND ST S
BROOKINGS SD
57006-1827
US

IV. Provider business mailing address

1502 KING ARTHUR CT
BROOKINGS SD
57006-4042
US

V. Phone/Fax

Practice location:
  • Phone: 605-627-1105
  • Fax:
Mailing address:
  • Phone: 701-330-2312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCP002631
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: