Kristin June Skantze, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

CP000638 Issued in SD

Practice address

640 Flormann St
Rapid City, SD 57701-4679

Phone

(605) 718-3300

Fax

(605) 718-3426

NPI assigned

Dec 28, 2005

Last updated

Jun 24, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

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.

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  • NPI 1740283324
  NPD (past)
• Grand River Gastroenterology PC

  • Gastroenterology Physician
  • Grand Rapids, MI
  • NPI 1164470472
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1083691422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN CHRISTIE MSS",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 FLORMANN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014679",
            "telephone_number": "605-718-3300",
            "fax_number": "605-718-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKANTZE",
        "first_name": "KRISTIN",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SD",
            "license": "CP000638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sioux San Hospital
• Sioux San Hospital
• Sisu Spa LLC (Rapid City Therapeutic Massage)
• Guy Lawrence Siverson, LMT
• Irene Marie Siverson
• Neil Skea, DPM
• Susan Lesley Skeie, RN
• Julia Carrie Skelton, NP-C
• Luke E Skiff, PT, DPT
• Amber Skjervem

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.