Active NPI
Dania Lynn Phelps, PSYCH NP
- Psychiatric/Mental Health Nurse Practitioner
- Fort Meade, SD
National Provider Identifier
1194916676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SD-CNP CP000483
- Practice address
- 113 Comanche Rd
Fort Meade, SD 57741-1002 - Phone
- (180) 074-3107
- Fax
- (605) 745-2806
- NPI assigned
- Aug 8, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SD-CNP CP000483 | SD | Primary |
Addresses
Primary practice location
113 Comanche Rd
Fort Meade, SD 57741-1002
Mailing address
113 Comanche Rd
Fort Meade, SD 57741-1002
Phone (180) 074-3107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SD-CNP CP000483 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1194916676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 COMANCHE RD",
"city": "FORT MEADE",
"state": "SD",
"postal_code": "577411002",
"telephone_number": "180-074-3107",
"fax_number": "605-745-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 COMANCHE RD",
"city": "FORT MEADE",
"state": "SD",
"postal_code": "577411002",
"telephone_number": "180-074-3107",
"fax_number": "605-745-2806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "DANIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PSYCH NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SD",
"license": "SD-CNP CP000483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Meade, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.