Active NPI
Chelsea Lynn Iversen, CNM
- Advanced Practice Midwife
- Rapid City, SD
National Provider Identifier
1326595554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CM000068
- Practice address
- 6015 Mount Rushmore Rd Ste 2
Rapid City, SD 57701-8962 - Phone
- (605) 343-9224
- Fax
- (605) 342-1359
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CM000068 | SD | Primary |
Addresses
Primary practice location
6015 Mount Rushmore Rd Ste 2
Rapid City, SD 57701-8962
Mailing address
6015 Mount Rushmore Rd Ste 2
Rapid City, SD 57701-8962
Phone (605) 343-9224
Other practice location 1
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone (605) 342-7400
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 Midwife
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1326595554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 MOUNT RUSHMORE RD STE 2",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577018962",
"telephone_number": "605-343-9224",
"fax_number": "605-342-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 MOUNT RUSHMORE RD STE 2",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577018962",
"telephone_number": "605-343-9224",
"fax_number": "605-342-1359"
}
],
"practiceLocations": [
{
"address_1": "3200 Canyon Lake Dr",
"address_purpose": "LOCATION",
"city": "Rapid City",
"state": "SD",
"postal_code": "577028114",
"country_code": "US",
"telephone_number": "605-342-7400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IVERSEN",
"first_name": "CHELSEA",
"middle_name": "LYNN",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "SD",
"license": "CM000068",
"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 Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.