NPIMap

Individual provider Active NPI

Kyle White, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1467283689
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP003332 Issued in SD
Practice address
911 E 20TH St Ste 700
Sioux Falls, SD 57105-1049
Phone
(605) 334-0393
Fax
(605) 334-6028
NPI assigned
Aug 9, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 CP003332 SD Primary

Addresses

Primary practice location

911 E 20TH St Ste 700
Sioux Falls, SD 57105-1049

Mailing address

911 E 20TH St Ste 700
Sioux Falls, SD 57105-1049
Phone (605) 334-0393

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
I20240830001803 SD Practitioner - Nurse Practitioner 6204375512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Institute of South Dakota PCGroup PAC ID 7911896253, 22 clinicians

Practice addresses (Care Compare)

911 E 20TH St
Suite 700
Sioux Falls, SD 57105-1049
Phone (605) 334-0393

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP003332SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Institute of South Dakota, PC CurrentSince Aug 12, 2024 Accepting new patients

Locations

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

911 E 20th St
Ste 700
Sioux Falls, SD 57105
Phone (605) 322-7300

Organizations & group practices 1

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

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1467283689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST STE 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051049",
            "telephone_number": "605-334-0393",
            "fax_number": "605-334-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST STE 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051049",
            "telephone_number": "605-334-0393",
            "fax_number": "605-334-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KYLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.