Andy Sivertson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3060 Issued in SD

Practice address

2501 W 22ND St
Sioux Falls, SD 57105-1305

Phone

(605) 336-3230

NPI assigned

Oct 21, 2014

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1235533118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051305",
            "telephone_number": "605-336-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051305",
            "telephone_number": "605-336-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVERTSON",
        "first_name": "ANDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "3060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Sirovy, RN
• Jill Sisson
• Derek J Sitter, PAC
• Thabuna Sivaprakasam, MD
• Leanne S Siverhus, CRNA
• Ryan Mark Sivertson, MD
• John Wesley Joseph Sivesind, O.D.
• Sivesind, Tims & Clarke, Prof. L.L.C.
• Sizewise Rentals LLC
• Kelsey Sjaarda, CSW-PIP

• Social Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.