Kendra C. Storm, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CP001655 Issued in SD

Practice address

3615 5TH St Ste 107
Rapid City, SD 57701-7360

Phone

(605) 391-4686

Fax

(605) 791-0164

NPI assigned

Oct 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Monument Health Rapid City Hospital, Inc

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1275553463
  Medicare reassignment NPD
• Monument Health Rapid City Hospital Inc

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1215727854
  NPD
• Monument Health Rapid City Hospital, Inc

  • Certified Registered Nurse Anesthetist
  • Rapid City, SD
  • NPI 1619242633
  NPD
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1437122009
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1033752183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 5TH ST STE 107",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017360",
            "telephone_number": "605-391-4686",
            "fax_number": "605-791-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 5TH ST STE 107",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017360",
            "telephone_number": "605-391-4686",
            "fax_number": "605-791-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "KENDRA",
        "middle_name": "C.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Stoltenburg, BS, ACT
• Emma Stone, OTD
• Kurt A Stone, MD
• Carl R Stonecipher, DDS
• Chad Allen Storch, D.O.
• Shelley Anne Stortz, NRP
• Mark E Stotz, DDS
• Paula Gail Stotz, R.PH.
• Maci Stouffer, OTD, OTR/L
• Agelia Mercades Stout, AUD

• Nurse Practitioner in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.