White Spruce Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WHITE SPRUCE WELLNESS PLLC

Practice address

310 S 26TH St Ste 1
Spearfish, SD 57783-3355

Phone

(605) 580-7358

Fax

(605) 559-0321

NPI assigned

Apr 24, 2023

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine Lyford Corey, PMHNP-BC

Title

Nurse Practitioner

Phone

(605) 580-7358

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

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.

• Katherine Lyford Wilgers, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rapid City, SD
  • NPI 1487293692
  Medicare reassignment NPD

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1326736869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S 26TH ST STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833355",
            "telephone_number": "605-580-7358",
            "fax_number": "605-559-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 26TH ST STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833355",
            "telephone_number": "605-580-7358",
            "fax_number": "605-559-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SPRUCE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LYFORD",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "605-580-7358",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.