Individual provider Active NPI

Katherine Mitchell, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1366803181
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001058 Issued in SD
Practice address
1800 S Dorothy Ave
Sioux Falls, SD 57106-3826
Phone
(701) 516-4637
NPI assigned
Mar 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001058 SD Primary

Addresses

Primary practice location

1800 S Dorothy Ave
Sioux Falls, SD 57106-3826

Mailing address

19580 Scout LN
Saint Onge, SD 57779-7913
Phone (605) 491-2832

Other practice location 1

2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (605) 322-1010

Other names 1

  • Katherine Turner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206002413 SD Practitioner - Nurse Practitioner 7012297179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP001058SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Legacy Primary Care PLLC CurrentSince Jul 7, 2024 Accepting new patients
Big Stone Therapies Montague LLC PastSince Nov 6, 2022 Accepting new patients

Locations

4001 Derby Ln
Ste 1
Rapid City, SD 57701

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1366803181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19580 SCOUT LN",
            "city": "SAINT ONGE",
            "state": "SD",
            "postal_code": "577797913",
            "telephone_number": "605-491-2832",
            "fax_number": "605-988-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S DOROTHY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063826",
            "telephone_number": "701-516-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 S Marion Rd",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571063646",
            "country_code": "US",
            "telephone_number": "605-322-1010",
            "fax_number": "605-322-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KATHERINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2022-11-02",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "TURNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.