Amanda Tilberg, CNP

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

CP001729 Issued in SD

Practice address

1500 W 22ND St Ste 102
Sioux Falls, SD 57105-1503

Phone

(605) 328-8800

NPI assigned

Feb 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1336772128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 N VAN EPS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571030214",
            "telephone_number": "605-212-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 22ND ST STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051503",
            "telephone_number": "605-328-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILBERG",
        "first_name": "AMANDA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "SD",
            "license": "CP001729",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MN",
            "license": "7256",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IA",
            "license": "F157868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerel E Tieszen, M.D.
• Nicholas Lee Tieszen, RN
• Jeremy John Tietgen, D.C.
• Heather Joy Tietjen, NP
• Methmini Tilakaratne, RBT
• Mallary Ann Tilden, APRN, NNP-BC
• Rebecca Renae Tillma
• Katelyn Tilstra, MA
• Audra Lynn Timmer, DNAP
• Gary Timmerman, MD

• Reproductive Endocrinology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Reproductive Endocrinology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.