Shaun D Van Roekel, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP001120 Issued in SD

Practice address

1601 N Harrison Ave Ste 1
Pierre, SD 57501-2376

Phone

(605) 494-0366

Fax

(605) 494-0152

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1386744670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N HARRISON AVE STE 1",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012376",
            "telephone_number": "605-494-0366",
            "fax_number": "605-494-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N HARRISON AVE STE 1",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012376",
            "telephone_number": "605-494-0366",
            "fax_number": "605-494-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ROEKEL",
        "first_name": "SHAUN",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ulmen
• Joan Umiker, DMD
• Aimee Van Houten, M.A. CCC-SLP
• Van R Inc
• Louis J Van Roekel, RBG PHA (R.PH)
• Jon Vander Maten, PA
• Vilas Long Term Care Pharmacy
• Vilas Long Term Care Pharmacy
• Vilas Pharmacy
• Joseph Simon Villa, MD

• Family Nurse Practitioner in Pierre, SD
• Providers in Pierre, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.