Active NPI
T & L Quick Care PC
- Acute Care Nurse Practitioner
- Watertown, SD
National Provider Identifier
1437650751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- Legal business name
- T & L QUICK CARE PC
- Practice address
- 1056 29TH St SE
Watertown, SD 57201-9120 - Phone
- (605) 753-0960
- NPI assigned
- Feb 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holly Gisi-York, C-NP
- Title
- Owner
- Phone
- (605) 881-0432
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | |||
| Acute Care Nurse Practitioner | 363LA2100X | Primary |
Addresses
Primary practice location
1056 29TH St SE
Watertown, SD 57201-9120
Mailing address
1056 29TH St SE
Watertown, SD 57201-9120
Phone (605) 753-0960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180823003741 | SD | Part B Supplier - Clinic/Group Practice | 1153670120 |
Receives reassigned benefits from 11 practitioners Practice locations: Watertown, SD |
National Provider Directory
National Provider DirectoryLocations
1056 29th St SE
Watertown, SD 57201
Phone (605) 214-5762
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561334400000",
"number": "1437650751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1056 29TH ST SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572019120",
"telephone_number": "605-753-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1056 29TH ST SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572019120",
"telephone_number": "605-753-0960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T & L QUICK CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-22",
"last_updated": "2019-06-24",
"status": "A",
"authorized_official_last_name": "GISI-YORK",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-881-0432",
"authorized_official_credential": "C-NP"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.