NPIMap

Individual provider Active NPI

Tabitha Marie Ammann, DNP, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1386045862
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000891 Issued in SD
Practice address
6100 S Louise Ave Ste 1110
Sioux Falls, SD 57108-6030
Phone
(605) 504-1900
Fax
(605) 504-1901
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 CP000891 SD Primary

Addresses

Primary practice location

6100 S Louise Ave Ste 1110
Sioux Falls, SD 57108-6030

Mailing address

6100 S Louise Ave Ste 1110
Sioux Falls, SD 57108-6030
Phone (605) 504-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141120002720 SD Practitioner - Nurse Practitioner 2163644410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1001 E 21St St
Suite 401
Sioux Falls, SD 57105-1017
Phone (605) 322-8920

110 S Logan Ave
Suite a
Gregory, SD 57533-1614
Phone (605) 835-9611

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

6100 S Louise Ave
Sioux Falls, SD 57108-6029

6100 S Louise Ave
Suite 1110
Sioux Falls, SD 57108-6030
Phone (605) 322-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000891SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Sep 16, 2014 Accepting new patients
Avera McKennan CurrentSince Sep 16, 2014 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

6100 S Louise Ave
Ste 110
Sioux Falls, SD 57108

6100 S Louise Ave
Ste 1110
Sioux Falls, SD 57108
Phone (605) 322-6700

1417 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-8920

1417 S Cliff Ave
Ste 101A
Sioux Falls, SD 57105
Phone (605) 322-6700

Interoperability endpoints

  • Direct secure messaging: tabitha.ammann@avera.sdhealthlink.net

Organizations & group practices 4

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.

  • Avera McKennan

    dba Avera McKennan Behavioral Health Clinic

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Sioux Falls, SD
    • NPI 1699009944
    Medicare reassignment Care Compare group NPD
  • Avera McKennan

    dba Avera Interventional Radiology

    • Diagnostic Radiology Physician
    • Sioux Falls, SD
    • NPI 1053680678
    NPD
  • Avera McKennan

    dba Avera Medical Group Womens Health Specialists Sioux Falls

    • Obstetrics & Gynecology Physician
    • Sioux Falls, SD
    • NPI 1336111962
    NPD
  • Avera McKennan

    dba Avera Medical Group

    • Family Medicine Physician
    • Sioux Falls, SD
    • NPI 1376575514
    NPD (past)

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1386045862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 1110",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086030",
            "telephone_number": "605-504-1900",
            "fax_number": "605-504-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S LOUISE AVE STE 1110",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086030",
            "telephone_number": "605-504-1900",
            "fax_number": "605-504-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMANN",
        "first_name": "TABITHA",
        "middle_name": "MARIE",
        "credential": "DNP, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.