Active NPI
Elaine G Headrick, CNP
- Women's Health Nurse Practitioner
- Sioux Falls, SD
National Provider Identifier
1336115609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 0271
- Practice address
- 911 E. 20TH St
Ste 200
Sioux Falls, SD 57105-1044 - Phone
- (605) 322-3455
- Fax
- (605) 322-3456
- NPI assigned
- Feb 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 0271 | SD | Primary |
Addresses
Primary practice location
911 E. 20TH St
Ste 200
Sioux Falls, SD 57105-1044
Mailing address
2400 S. Minnesota Ave
Ste 100
Sioux Falls, SD 57105-3762
Phone (605) 322-7510
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230278 | Other | SD | MIDLANDS CHOICE |
| 28563 | Other | SD | SANFORD HEALTH PLAN |
| 370624200 | Other | SD | DEPT OF LABOR |
| 67B26HE | Other | MN | CC SYSTEMS/ BLUE PLUS |
| 140309 | Other | MN | UCARE |
| 57105E002 | Other | SD | WPS TRICARE |
| AH1451026885 | Other | SD | PREFERRED ONE |
| 0007481 | Other | SD | BLUE CROSS |
| HP37108 | Other | SD | HEALTHPARTNERS |
| 6826982 | Medicaid | SD | |
| 0585661 | Medicaid | IA | |
| 1194219 | Other | SD | ARAZ/ AMERICA'S PPO |
| 579152900 | Medicaid | MN | |
| 0701587 | Other | SD | MEDICA |
| 10025120100 | Medicaid | NE | |
| 67B26HE | Other | MN | BLUE CROSS |
| 500016956 | Other | SD | RR MEDICARE |
| 9240518 | Other | SD | DAKOTACARE |
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 Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0271 | SD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1336115609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S. MINNESOTA AVE",
"address_2": "STE 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571053762",
"telephone_number": "605-322-7510",
"fax_number": "605-322-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E. 20TH ST",
"address_2": "STE 200",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051044",
"telephone_number": "605-322-3455",
"fax_number": "605-322-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADRICK",
"first_name": "ELAINE",
"middle_name": "G",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SD",
"license": "0271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "230278",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANFORD HEALTH PLAN",
"identifier": "28563",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "370624200",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CC SYSTEMS/ BLUE PLUS",
"identifier": "67B26HE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "140309",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "57105E002",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "AH1451026885",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0007481",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP37108",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6826982",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0585661",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ/ AMERICA'S PPO",
"identifier": "1194219",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "579152900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0701587",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025120100",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "67B26HE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "500016956",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "9240518",
"state": "SD"
}
],
"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 Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.