Individual provider Active NPI

Lindsay Dawn Peterson, FNP-C

  • Family Nurse Practitioner
  • Aberdeen, SD
National Provider Identifier
1518575174
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001793 Issued in SD
Practice address
1206 S Main St
Aberdeen, SD 57401-7071
Phone
(605) 982-5063
Fax
(605) 982-5072
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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 CP001793 SD Primary

Addresses

Primary practice location

1206 S Main St
Aberdeen, SD 57401-7071

Mailing address

1206 S Main St
Aberdeen, SD 57401-7071
Phone (605) 982-5063

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
I20200918000292 SD Practitioner - Nurse Practitioner 1355769621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Roots Health Care PLLCGroup PAC ID 9739694985, 3 clinicians

Practice addresses (Care Compare)

1206 S Main St
Aberdeen, SD 57401-7071
Phone (605) 982-5063

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP001793SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Roots Health Care PLLC Family CurrentSince Mar 25, 2025 Accepting new patients
American Advanced Practice Network, P.C. CurrentSince Aug 1, 2020 Accepting new patients
Fit for Life Chiropractic, LLC PastSince Sep 15, 2018 Accepting new patients

Locations

1206 S Main St
Aberdeen, SD 57401
Phone (605) 622-5800

125 Railroad Ave SE
Ste 1
Aberdeen, SD 57401
Phone (605) 725-5505

2501 S Louise Ave
Unit 90332
Sioux Falls, SD 57109

1056 29th St SE
Watertown, SD 57201
Phone (605) 214-5762

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1518575174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 S MAIN ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574017071",
            "telephone_number": "605-982-5063",
            "fax_number": "605-982-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 S MAIN ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574017071",
            "telephone_number": "605-982-5063",
            "fax_number": "605-982-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LINDSAY",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.