Individual provider Active NPI

Sandra Lee Wollan, RN

  • Medical-Surgical Registered Nurse
  • Sioux Falls, SD
National Provider Identifier
1326908617
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
R030465 Issued in SD
Practice address
2104 S Monticello Ave
Sioux Falls, SD 57106-5191
Phone
(605) 336-3230
Fax
(605) 977-4408
NPI assigned
Nov 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X R030465 SD Primary

Addresses

Primary practice location

2104 S Monticello Ave
Sioux Falls, SD 57106-5191

Mailing address

2104 S Monticello Ave
Sioux Falls, SD 57106-5191
Phone (605) 336-3230

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R030465SDMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1326908617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 S MONTICELLO AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571065191",
            "telephone_number": "605-336-3230",
            "fax_number": "605-977-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 S MONTICELLO AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571065191",
            "telephone_number": "605-336-3230",
            "fax_number": "605-977-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLAN",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "SD",
            "license": "R030465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.