Active NPI
Lindsey Roberta Peterson, CNP
- Family Nurse Practitioner
- Sioux Falls, SD
National Provider Identifier
1073881702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP000675
- Practice address
- 2200 W 49TH St
Suite 104
Sioux Falls, SD 57105-6587 - Phone
- (605) 336-6385
- Fax
- (605) 336-6513
- NPI assigned
- Dec 8, 2011
- Last updated
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP000675 | SD | Primary |
Addresses
Primary practice location
2200 W 49TH St
Suite 104
Sioux Falls, SD 57105-6587
Mailing address
2200 W. 49TH Street
Suite 104
Sioux Falls, SD 57105-6550
Phone (605) 336-6385
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 W 49TH St
Suite 104
Sioux Falls, SD 57105-6550
Phone (605) 336-6385
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Allergy & Immunology (Internal Medicine) Physician
- Sioux Falls, SD
- NPI 1285689646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1073881702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W. 49TH STREET",
"address_2": "SUITE 104",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571056550",
"telephone_number": "605-336-6385",
"fax_number": "605-336-6513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W 49TH ST",
"address_2": "SUITE 104",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571056587",
"telephone_number": "605-336-6385",
"fax_number": "605-336-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "LINDSEY",
"middle_name": "ROBERTA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP000675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.