Dannica Callies

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP000817 Issued in SD

Practice address

709 4TH St SE
Lake Preston, SD 57249-2116

Phone

(605) 847-4484

Fax

(605) 847-4732

NPI assigned

Oct 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Horizon Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Plankinton, SD
  • NPI 1356459382

  SD

  Medicare reassignment NPD
• T & L Quick Care PC

  • Acute Care Nurse Practitioner
  • Watertown, SD
  • NPI 1437650751

  SD

  Medicare reassignment NPD
• American Advanced Practice Network, P.C.

  • Nurse Practitioner
  • Watertown, SD
  • NPI 1790244341
  NPD
• Horizon Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Yankton, SD
  • NPI 1013445907
  NPD
• Horizon Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • De Smet, SD
  • NPI 1831208883
  NPD

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1376971770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 4TH ST SE",
            "city": "LAKE PRESTON",
            "state": "SD",
            "postal_code": "572492116",
            "telephone_number": "605-847-4484",
            "fax_number": "605-847-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 4TH ST SE",
            "city": "LAKE PRESTON",
            "state": "SD",
            "postal_code": "572492116",
            "telephone_number": "605-847-4484",
            "fax_number": "605-847-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIES",
        "first_name": "DANNICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CP000817",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen D Bumann, PA-C, RN
• City of Lake Preston
• Lisa Marie Greene
• Horizon Health Care Inc
• Kingsbury Memorial Manor
• Lake Preston School District

• All providers in Lake Preston, SD
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.