Individual provider Active NPI

Ashley Kuipers, DO

  • Pediatrics Physician
  • Okatie, SC
National Provider Identifier
1568027290
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14029 Issued in SD
Practice address
721 Okatie Hwy Ste 170
Okatie, SC 29909-3963
Phone
(843) 987-7400
Fax
(843) 986-0566
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 14029 SD Primary

Addresses

Primary practice location

721 Okatie Hwy Ste 170
Okatie, SC 29909-3963

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

1400 W 22nd St
Sioux Falls, SD 57105-1554
Phone (605) 333-7197

Other practice location 2

1205 S Grange Ave Ste 307
Sioux Falls, SD 57105-0410
Phone (605) 328-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204003958 SC Practitioner - Pediatric Medicine 4587991641 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
503SDMDOptometrist
14029SDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Sep 1, 2024 Accepting new patients
McLeod Health Clarendon CurrentSince Dec 20, 2024 Accepting new patients
McLeod Health Clarendon CurrentSince Dec 20, 2024 Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc CurrentSince Sep 1, 2024 Accepting new patients
McLeod Health Clarendon Past Accepting new patients

Locations

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

721 Okatie Hwy
Okatie, SC 29909

721 Okatie Hwy
Ste 170
Okatie, SC 29909

Interoperability endpoints

  • Direct secure messaging: akuipers95125@directmcleodehealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EICIBD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1568027290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 OKATIE HWY STE 170",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093963",
            "telephone_number": "843-987-7400",
            "fax_number": "843-986-0566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W 22nd St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051554",
            "country_code": "US",
            "telephone_number": "605-333-7197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 S Grange Ave Ste 307",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571050410",
            "country_code": "US",
            "telephone_number": "605-328-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUIPERS",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "14029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.