Individual provider Active NPI

Lindsay Nicole Jervik, CNP

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1336056381
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201641 Issued in SD
Practice address
201 W 69TH St Ste 100
Sioux Falls, SD 57108-2424
Phone
(605) 336-0635
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201641 SD Primary

Addresses

Primary practice location

201 W 69TH St Ste 100
Sioux Falls, SD 57108-2424

Mailing address

29696 480TH Ave
Hudson, SD 57034-6513
Phone (605) 336-0635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1336056381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29696 480TH AVE",
            "city": "HUDSON",
            "state": "SD",
            "postal_code": "570346513",
            "telephone_number": "605-336-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 69TH ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082424",
            "telephone_number": "605-336-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERVIK",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "201641",
            "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 Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.