Individual provider Active NPI

Whitney Kay Larsen, CNP

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1013358092
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000797 Issued in SD
Practice address
521 N Main Ave
Sioux Falls, SD 57104
Phone
(605) 367-8793
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP000797 SD
Nurse Practitioner 363L00000X CP000797 SD Primary

Addresses

Primary practice location

521 N Main Ave
Sioux Falls, SD 57104

Mailing address

196 E 6TH St Apt 308
Sioux Falls, SD 57104-5939
Phone (605) 480-1975

Other names 1

  • Whitney Kay White Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140116001485 SD Practitioner - Nurse Practitioner 1951539006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP000797SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Sioux Falls CurrentSince Nov 4, 2013 Accepting new patients
Sanford Clinic Nurse Practitioner Current Accepting new patients
City of Sioux Falls Current Accepting new patients
Sanford Clinic CurrentSince Jun 20, 2018 Accepting new patients
City of Sioux Falls CurrentSince Nov 4, 2013 Accepting new patients
Sanford Clinic Nurse Practitioner CurrentSince Jun 20, 2018 Accepting new patients
Sanford Medical Center Nurse Practitioner CurrentSince Jun 20, 2018 Accepting new patients

Locations

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1013358092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 E 6TH ST APT 308",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045939",
            "telephone_number": "605-480-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N MAIN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57104",
            "telephone_number": "605-367-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "WHITNEY",
        "middle_name": "KAY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000797",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "WHITE",
            "middle_name": "KAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.