Individual provider Active NPI

Kip Littau, FNP-BC

  • Family Nurse Practitioner
  • Plankinton, SD
National Provider Identifier
1497582340
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP003375 Issued in SD
Practice address
104 W Commerce St
Plankinton, SD 57368-2083
Phone
(605) 299-8234
NPI assigned
Sep 16, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X CP003375 SD Primary

Addresses

Primary practice location

104 W Commerce St
Plankinton, SD 57368-2083

Mailing address

40430 237TH St
Letcher, SD 57359-6104
Phone (605) 842-6625

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241016003215 SD Practitioner - Nurse Practitioner 6305378274 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
Hometown Family Health PLLCGroup PAC ID 4284019381, 3 clinicians

Practice addresses (Care Compare)

104 W Commerce St
Plankinton, SD 57368-2083
Phone (605) 299-8234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP003375SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Family Health PLLC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Aurora Brule Nursing Home, Inc. Past Accepting new patients

Locations

408 S Johnston St
White Lake, SD 57383
Phone (605) 249-2216

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26394/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kip.littau.1@26394.direct.athenahealth.com

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1497582340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40430 237TH ST",
            "city": "LETCHER",
            "state": "SD",
            "postal_code": "573596104",
            "telephone_number": "605-842-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W COMMERCE ST",
            "city": "PLANKINTON",
            "state": "SD",
            "postal_code": "573682083",
            "telephone_number": "605-299-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTAU",
        "first_name": "KIP",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plankinton, SD

Sources for this page

Verify at the official NPI Registry.