Sara Suzanne Degroot, RN
Individual provider Active NPI Registered Nurse · Fort Meade, SD
NPI 1497428767 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1497428767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R045647 (SD)
- Practice address
- 113 Comanche Rd
Fort Meade, SD 57741-1002 - Phone
- (605) 347-2511
- NPI assigned
- Jul 31, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R045647 | SD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R045647 | SD | Yes |
Addresses
Primary practice location
113 Comanche Rd
Fort Meade, SD 57741-1002
Mailing address
113 Comanche Rd
Fort Meade, SD 57741-1002
Phone (605) 347-2511
Other providers in Fort Meade, SD
- Jordan Davis
- Macy Davis
- Marva Davis
- Tricia Davison
- Nathaniel Jacob Deboer
- Cara E Deiss
- Anna Rae Delzer
- Brieanna Denning
- Anjali Dhanda
- Lyanna Diaz
All providers in Fort Meade, SD · Registered Nurse in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.