NPIMap

Organization Active NPI

Lewis and Clark Anesthesia, Prof. LLC

  • Certified Registered Nurse Anesthetist
  • Yankton, SD
National Provider Identifier
1295752137
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
LEWIS AND CLARK ANESTHESIA, PROF. LLC
Practice address
2601 Fox Run Pkwy
Yankton, SD 57078-5341
Phone
(605) 665-5100
Fax
(605) 665-5200
NPI assigned
Jul 16, 2006
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Ms. Mary F Campbell
Title
Office Manager
Phone
(605) 664-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

2601 Fox Run Pkwy
Yankton, SD 57078-5341

Mailing address

307 Walnut St
Suite C
Yankton, SD 57078-4361
Phone (605) 664-5050

National Provider Directory

National Provider Directory

Locations

2601 S Minnesota Ave
Ste 105327
Sioux Falls, SD 57105

307 Walnut St
Ste C
Yankton, SD 57078

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1295752137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WALNUT ST",
            "address_2": "SUITE C",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784361",
            "telephone_number": "605-664-5050",
            "fax_number": "605-664-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FOX RUN PKWY",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785341",
            "telephone_number": "605-665-5100",
            "fax_number": "605-665-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS AND CLARK ANESTHESIA, PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-664-5050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.