Healthcare Provider Details

I. General information

NPI: 1508283748
Provider Name (Legal Business Name): REBECCA KAY LANPHEAR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4940 5TH ST
RAPID CITY SD
57701-6025
US

IV. Provider business mailing address

4940 5TH ST
RAPID CITY SD
57701-6025
US

V. Phone/Fax

Practice location:
  • Phone: 605-755-4750
  • Fax:
Mailing address:
  • Phone: 605-755-4750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200347
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: