Maryann Fanning, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP000853 Issued in SD

Practice address

33 3Rd St SE Ste 201
Huron, SD 57350-2064

Phone

(605) 554-0858

Fax

(605) 610-4063

NPI assigned

May 13, 2014

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Horizon Health Care, Inc

  dba Mellette County Health Center

  • Federally Qualified Health Center (FQHC)
  • White River, SD
  • NPI 1962511014
  NPD (past)

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1225449226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23805 290TH ST",
            "city": "TUTHILL",
            "state": "SD",
            "postal_code": "575746112",
            "telephone_number": "605-685-6878",
            "fax_number": "605-685-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 3RD ST SE STE 201",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502064",
            "telephone_number": "605-554-0858",
            "fax_number": "605-610-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "MARYANN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy T Dramstad, MSW, LCSW
• DRS Accoicates LLC (Absolute Hearing Solutions)
• Karen Louise Duncan, COTA
• Nikki L Eining
• Heather Lynn Esping, LCSW, QMHP
• Jesse David Fast, D.D.S.
• Kara Fast, PA
• Kyla Beth Feickert, PA-C
• Gage Fenski, DDS
• Donald Ashley Ferrier, MA

• Family Nurse Practitioner in Huron, SD
• Providers in Huron, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.

Verify at the official NPI Registry.