Suzie Lynn Banouvong, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

1281 Issued in SD

Practice address

1305 W 18TH St
Sioux Falls, SD 57105-0401

Phone

(605) 312-9500

NPI assigned

Oct 17, 2022

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)

Not enrolled

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1154047603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 S SOLONO AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088348",
            "telephone_number": "602-501-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050401",
            "telephone_number": "605-312-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANOUVONG",
        "first_name": "SUZIE",
        "middle_name": "LYNN",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "SD",
            "license": "1281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Banken, PA-C
• Fanix Bannister
• Eric Andrew Bannwarth, PA-C
• John Herbert Bannwarth, O.D.
• Jonathon Bannwarth
• Keerthi Bansal
• Bruce Douglas Banwart, MD
• Barbara Ra Christensen II Inc
• Kennen Barber-Ensz, LCSW
• Kimberly Barber

• Registered Respiratory Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Registered Respiratory Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.