Sara M Koole, RN, MS, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

CP000370 Issued in SD

Practice address

4500 W 69TH St
Sioux Falls, SD 57108-8148

Phone

(605) 977-7000

NPI assigned

Jun 19, 2012

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

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

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sara.koole@avera.sdhealthlink.net

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.

• Heart Hospital of South Dakota LLC

  dba Avera Heart Hospital of South Dakota LLC

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1023003969
  Medicare reassignment NPD
• Heart Hospital of South Dakota LLC

  dba North Central Heart a Division of Avera Heart Hospital

  • Cardiovascular Disease Physician
  • Sioux Falls, SD
  • NPI 1407109705
  NPD

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1487917977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 S GRAY GOOSE CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103900",
            "telephone_number": "605-977-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088148",
            "telephone_number": "605-977-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOLE",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "RN, MS, ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SD",
            "license": "CP000370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Lien Konstant, D.C.
• Ricky Kooima, M.D.
• Rylie Kooima, FNP
• Justin Ray Kooiman, OT
• Ila M Kool, R.PH.
• Tori Lynn Koopman
• Grace Kor, CSW
• Kore Cares in Home Services, LLC
• Kore Cares in Home Services, LLC
• Kore Cares in Home Services, LLC

• Acute Care Nurse Practitioner in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Acute Care Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.