NPIMap

Individual provider Active NPI

Julie Jefferis-Woodis, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1083108245
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001387 Issued in SD
Practice address
6100 S Louise Ave Ste 1120
Sioux Falls, SD 57108-6021
Phone
(605) 504-1700
NPI assigned
Jun 20, 2018
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001387 SD Primary

Addresses

Primary practice location

6100 S Louise Ave Ste 1120
Sioux Falls, SD 57108-6021

Mailing address

1301 S Cliff Ave Ste 400
Sioux Falls, SD 57105-1023

Other practice location 1

1301 S Cliff Ave Ste 400
Sioux Falls, SD 57105
Phone (605) 322-5750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180817000746 SD Practitioner - Nurse Practitioner 1355690728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

1600 S Highline Ave
Sioux Falls, SD 57110-1008

1910 W 69TH St
Sioux Falls, SD 57108-5612
Phone (605) 322-5200

2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (605) 322-5180

4400 W 69TH St
Suite 500
Sioux Falls, SD 57108-8171
Phone (605) 322-7580

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP001387SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jul 15, 2018 Accepting new patients
Avera McKennan CurrentSince Jul 15, 2018 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

1301 S Cliff Ave
Ste 400
Sioux Falls, SD 57105
Phone (605) 322-5750

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

1910 W 69th St
Sioux Falls, SD 57108
Phone (605) 322-5200

6100 S Louise Ave
Ste 1120
Sioux Falls, SD 57108
Phone (605) 504-1700

Organizations & group practices 3

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1083108245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 400",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 1120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086021",
            "telephone_number": "605-504-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S Cliff Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "57105",
            "country_code": "US",
            "telephone_number": "605-322-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERIS-WOODIS",
        "first_name": "JULIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.