Active NPI
Shelly Marie Hruby, CNP
- Pediatric Nurse Practitioner
- Sioux Falls, SD
National Provider Identifier
1265824239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- CP000925
- Practice address
- 1305 W 18TH St
Sioux Falls, SD 57105-0401 - Phone
- (605) 333-2226
- NPI assigned
- Feb 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP000925 | SD | |
| Pediatric Nurse Practitioner | 363LP0200X | CP000925 | SD | Primary |
Addresses
Primary practice location
1305 W 18TH St
Sioux Falls, SD 57105-0401
Mailing address
1205 S Grange Ave
Medical Building 2 Suite 104
Sioux Falls, SD 57105-0407
Phone (605) 328-8500
Other practice location 1
1305 W 18th St
Sioux Falls, SD 57105-0401
Phone (605) 333-2226
Other practice location 2
1205 S Grange Ave
Medical Building 2 Suite 104
Sioux Falls, SD 57105-0407
Phone (605) 328-8500
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000925 | SD | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1265824239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 S GRANGE AVE",
"address_2": "MEDICAL BUILDING 2 SUITE 104",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050407",
"telephone_number": "605-328-8500",
"fax_number": "605-328-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 W 18TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050401",
"telephone_number": "605-333-2226"
}
],
"practiceLocations": [
{
"address_1": "1305 W 18th St",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571050401",
"country_code": "US",
"telephone_number": "605-333-2226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1205 S Grange Ave",
"address_2": "Medical Building 2 Suite 104",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571050407",
"country_code": "US",
"telephone_number": "605-328-8500",
"fax_number": "605-328-8501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HRUBY",
"first_name": "SHELLY",
"middle_name": "MARIE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP000925",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SD",
"license": "CP000925",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.