Individual provider Active NPI

Nancy Hartung, R.N.

  • General Practice Registered Nurse
  • Aberdeen, SD
National Provider Identifier
1063566057
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
R027005 Issued in SD
Practice address
1315 6TH Ave SE
Suite 6
Aberdeen, SD 57401-4900
Phone
(605) 225-1538
Fax
(605) 229-2053
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X R027005 SD Primary

Addresses

Primary practice location

1315 6TH Ave SE
Suite 6
Aberdeen, SD 57401-4900

Mailing address

1315 6TH Ave SE
Suite 6
Aberdeen, SD 57401-4900
Phone (605) 225-1538

Other identifiers 1

IdentifierTypeStateIssuer
5350182MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R027005SDMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
South Dakota Urban Indian Health, Inc. Sduih Past Accepting new patients

Organizations & group practices 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063566057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 6TH AVE SE",
            "address_2": "SUITE 6",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014900",
            "telephone_number": "605-225-1538",
            "fax_number": "605-229-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 6TH AVE SE",
            "address_2": "SUITE 6",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014900",
            "telephone_number": "605-225-1538",
            "fax_number": "605-229-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTUNG",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "SD",
            "license": "R027005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5350182",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.