Individual provider Active NPI

Nichole Yost, CNP,FNP-BC

  • Family Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1285043752
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001507 Issued in SD
Practice address
5622 Sheridan Lake Rd Ste 105
Rapid City, SD 57702-8881
Phone
(605) 787-2170
Fax
(605) 791-1849
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001507 SD Primary

Addresses

Primary practice location

5622 Sheridan Lake Rd Ste 105
Rapid City, SD 57702-8881

Mailing address

5622 Sheridan Lake Rd Ste 105
Rapid City, SD 57702-8881
Phone (605) 354-1734

Other practice location 1

24276 166th Airport Road
Eagle Butte, SD 57625
Phone (605) 964-7724

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
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP001507SDMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1285043752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 SHERIDAN LAKE RD STE 105",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028881",
            "telephone_number": "605-354-1734",
            "fax_number": "605-791-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 SHERIDAN LAKE RD STE 105",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028881",
            "telephone_number": "605-787-2170",
            "fax_number": "605-791-1849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24276 166th Airport Road",
            "address_purpose": "LOCATION",
            "city": "Eagle Butte",
            "state": "SD",
            "postal_code": "57625",
            "country_code": "US",
            "telephone_number": "605-964-7724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOST",
        "first_name": "NICHOLE",
        "credential": "CNP,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2020-10-06",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.