Individual provider Active NPI

Ali Nettestad, CF-SLP

  • Speech-Language Pathologist
  • Sioux Falls, SD
National Provider Identifier
1265808828
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
585-PROV Issued in SD
Practice address
2115 S Pendar LN
Sioux Falls, SD 57105-3944
Phone
(605) 359-3842
NPI assigned
Aug 18, 2015
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 585-PROV SD Primary

Addresses

Primary practice location

2115 S Pendar LN
Sioux Falls, SD 57105-3944

Mailing address

3517 W 85TH St Apt 105
Sioux Falls, SD 57108-8454

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
585-PROVSDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theratime Inc Speech-Language Pathologist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1265808828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 W 85TH ST APT 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S PENDAR LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053944",
            "telephone_number": "605-359-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTESTAD",
        "first_name": "ALI",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "585-PROV",
            "primary": true
        }
    ],
    "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 Aug 18, 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.

Verify at the official NPI Registry.