Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sisseton Wahpeton Oyate of the Lake Traverse Reservation

Organization Registered Dietitian · NPI 1629858519

Sisseton Wahpeton Oyate of the Lake Traverse Reservation is a Registered Dietitian in Sisseton, South Dakota. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

114 Lake Traverse Dr Ste 102
Sisseton, SD 57262-7046
Phone: (833) 674-3444
Fax: (605) 303-5295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1629858519
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSisseton Wahpeton Oyate of the Lake Traverse Reservation
Authorized official Elise Johnson — Swo Tribal Health Director · (605) 698-8315
Other names Sisseton-Wahpeton Oyate Asniyapi Field Health Clinic
NPI enumeratedSeptember 29, 2023
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing addressPo Box 509, Sisseton, SD 57262-0509

Other providers in Sisseton