OrganizationActive
Sisseton Wahpeton Oyate of the Lake Traverse Reservation
NPI 1629858519 · Primary Care Nurse Practitioner · Sisseton, SD
Provider details
- NPI number
- 1629858519
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Sisseton Wahpeton Oyate of the Lake Traverse Reservation
- Organization subpart
- Yes
- Authorized official
- Elise Johnson, Swo Tribal Health Director(605) 698-8315
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
114 Lake Traverse Dr Ste 102
Sisseton, SD 57262-7046
Phone: (833) 674-3444
Fax: (605) 303-5295
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 509
Sisseton, SD 57262-0509
Other names (DBA / former)
- Doing business as
- Sisseton-Wahpeton Oyate Asniyapi Field Health Clinic
Registry dates
- Enumerated
- 2023-09-29
- Last updated
- 2024-02-22
- Certified
- 2024-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.