Healthcare Provider Details
I. General information
NPI: 1629938576
Provider Name (Legal Business Name): ALEXIS SEMMLER, NP-C, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 W HWY 38 SUITE G
HARTFORD SD
57033-2307
US
IV. Provider business mailing address
817 TROJAN AVE
HARTFORD SD
57033-2307
US
V. Phone/Fax
- Phone: 605-595-4423
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEXIS
SEMMLER
Title or Position: OWNER
Credential: NP
Phone: 605-595-4423