Active NPI
Linda Jane Sandvik, RN BSN CDE
- Diabetes Educator Registered Nurse
- Rapid City, SD
National Provider Identifier
1104028257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- R017831
- Practice address
- 3200 Canyon Lake Dr
Rapid City, SD 57702-8114 - Phone
- (605) 355-2201
- Fax
- (605) 355-2403
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | R017831 | SD | Primary |
Addresses
Primary practice location
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Mailing address
4810 Powderhorn Dr
Rapid City, SD 57702-4801
Phone (605) 342-8450
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R017831 | SD | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104028257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 POWDERHORN DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577024801",
"telephone_number": "605-342-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CANYON LAKE DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028114",
"telephone_number": "605-355-2201",
"fax_number": "605-355-2403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDVIK",
"first_name": "LINDA",
"middle_name": "JANE",
"credential": "RN BSN CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "SD",
"license": "R017831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
- Ardith Sand, MSW
- Rebecca Rose Sanders, PTA
- Teressa M Sanders, DPT
- Katie Sandvig, PT,DPT
- David E Sandvik, MD
- Sanford Health
- Sanford School of Medicine of the University of South Dakota Clinical
- Sanford School of Medicine the University of SD Clinical Virology Lab
- Ashley Sargent, CM, BS
- Maria Sargent, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.