Kate Ellen Dyer, CNP
Individual provider Active NPI Nurse Practitioner · Rapid City, SD
NPI 1336731108 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1336731108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CP001958 (SD)
- Practice address
- 2820 Mount Rushmore Rd
Rapid City, SD 57701-5474 - Phone
- (605) 388-5590
- Fax
- (605) 721-8445
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
216 Anamaria Dr
Rapid City, SD 57701-7366
Hospital & facility affiliations
- Monument Health Rapid City Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210330001252 | SD | Practitioner - Nurse Practitioner | 4789091299 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid City Medical Center, LLP | Current | Accepting new patients | |
| Black Hills Surgical Hospital, LLC | Current |
Accepting new patients | |
| Black Hills Surgical Hospital, LLC | Current |
Accepting new patients | |
| Black Hills Surgical Hospital, LLC | Current |
Accepting new patients | |
| Black Hills Surgical Hospital, LLP | Past | Accepting new patients |
Locations
1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900
216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440
2820 Mount Rushmore Rd
#0
Rapid City, SD 57701
2820 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 721-8121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CP001958 | SD | Yes |
Addresses
Primary practice location
2820 Mount Rushmore Rd
Rapid City, SD 57701-5474
Mailing address
2820 Mount Rushmore Rd
Rapid City, SD 57701-5474
Phone (605) 545-3879
NPI Registry JSON
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1336731108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 MOUNT RUSHMORE RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577015474",
"telephone_number": "605-545-3879",
"fax_number": "605-721-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 MOUNT RUSHMORE RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577015474",
"telephone_number": "605-388-5590",
"fax_number": "605-721-8445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "KATE",
"middle_name": "ELLEN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SD",
"license": "CP001958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
- Taylor Dupea
- Chelsea Lauren Dupre
- Samuel J Durr
- Robert A Durst Jr.
- Dyer Enterprises, Inc
- Stephanie Dyer
- Aaron Douglas Dykstra
- Anna Malena Waterland Dykstra
- Dynamic Kids Physical Therapy, LLC
- Egon Dzintars
All providers in Rapid City, SD · Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.