Healthcare Provider Details

I. General information

NPI: 1801735659
Provider Name (Legal Business Name): LONI J GEFFRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LONI J BROWNELL

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 COMANCHE RD
FORT MEADE SD
57741-1002
US

IV. Provider business mailing address

1805 SUGAR CREEK PL
SPEARFISH SD
57783-7600
US

V. Phone/Fax

Practice location:
  • Phone: 605-347-2511
  • Fax: 605-720-7236
Mailing address:
  • Phone: 605-641-7520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberP011419
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: