Active NPI
Tamber K White, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Rapid City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CP001459
- Practice address
- 636 Saint Anne St
Rapid City, SD 57701 - Phone
- (605) 348-8000
- Fax
- (605) 716-0248
- NPI assigned
- Sep 28, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CP001459 | SD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CP001459 | SD | Primary |
Addresses
Primary practice location
636 Saint Anne St
Rapid City, SD 57701
Mailing address
636 Saint Anne St
Rapid City, SD 57701
Phone (605) 348-8000
Other names 1
- Tamber Kristina Boggs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2805 5TH St
Suite 200
Rapid City, SD 57701-7386
Phone (917) 231-9971
636 Saint Anne St
Rapid City, SD 57701-4694
Phone (605) 348-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP001459 | SD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manlove Psychiatric Group, P.C. | Current | Accepting new patients | |
| Midwest Heart and Vascular Associates | Current | Accepting new patients |
Locations
636 Saint Anne St
Rapid City, SD 57701
Phone (605) 348-8000
2805 5th St
Ste 200
Rapid City, SD 57701
Phone (605) 343-6691
636 Saint Anne St
Ste 100
Rapid City, SD 57701
Phone (605) 348-8000
Interoperability endpoints
- manlovegroup.tamberwhite@159086.advancedmd-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Rapid City, SD
- NPI 1194756833
-
- Cardiovascular Disease Physician
- Rapid City, SD
- NPI 1144027996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1316422991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 SAINT ANNE ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-348-8000",
"fax_number": "605-716-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 SAINT ANNE ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-348-8000",
"fax_number": "605-716-0248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TAMBER",
"middle_name": "K",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-28",
"last_updated": "2023-09-19",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SD",
"license": "CP001459",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SD",
"license": "CP001459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMBER",
"last_name": "BOGGS",
"middle_name": "KRISTINA",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.