Heidi Wussow

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R058479 Issued in SD

Practice address

1420 W 22ND St Ste 201
Sioux Falls, SD 57105-1507

Phone

(605) 328-9290

NPI assigned

Aug 28, 2025

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1306725916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W 22ND ST STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W 22ND ST STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051507",
            "telephone_number": "605-328-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUSSOW",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R058479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Wulf, RRT
• Gary Neil Wurgler, PHYSICIANS ASSISTANT
• Sara Wurgler, MA-MFT
• Jason Theodore Wurth, MD
• Paul Wurth, LPC-SUPERVISEE
• Chencheng Xie, M.D.
• Debra Yackley, D.C.
• Donald Paul Yackley, LPC-S
• Alan Yan
• George Liu Yang

• All providers in Sioux Falls, SD
• Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.