Active NPI
Brittany Cole Wangsness, DNP
- Family Nurse Practitioner
- Sioux Falls, SD
National Provider Identifier
1225408214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP000987
- Practice address
- 5011 S Louise Ave
Sioux Falls, SD 57108-2268 - Phone
- (605) 275-6128
- NPI assigned
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CP000987 | SD | |
| Family Nurse Practitioner | 363LF0000X | CP000987 | SD | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | CP000987 | SD |
Addresses
Primary practice location
5011 S Louise Ave
Sioux Falls, SD 57108-2268
Mailing address
2901 S 4TH Ave
Sioux Falls, SD 57105-4928
Phone (605) 480-1804
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000987 | SD | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lazaderm Skin Care Centre PC | Past | Accepting new patients |
Interoperability endpoints
- brittany.wangsness@avera.sdhealthlink.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Sioux Falls, SD
- NPI 1003051020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1225408214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 S 4TH AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054928",
"telephone_number": "605-480-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 S LOUISE AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082268",
"telephone_number": "605-275-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANGSNESS",
"first_name": "BRITTANY",
"middle_name": "COLE",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SD",
"license": "CP000987",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP000987",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "SD",
"license": "CP000987",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.