Individual provider Active NPI

Annie Elizabeth Thury, CNP

  • Family Nurse Practitioner
  • Tyndall, SD
National Provider Identifier
1639617731
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001193 Issued in SD
Practice address
410 W 16TH Ave
Tyndall, SD 57066-2318
Phone
(605) 589-3341
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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 CP001193 SD Primary

Addresses

Primary practice location

410 W 16TH Ave
Tyndall, SD 57066-2318

Mailing address

PO Box 64
Avon, SD 57315-0064
Phone (605) 286-3002

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
I20170502001362 SD Practitioner - Nurse Practitioner 7113204017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Benedict Health CenterGroup PAC ID 4880507672, shared by 5 NPIs, 13 clinicians

Practice addresses (Care Compare)

401 W Glynn Dr
Parkston, SD 57366-9605
Phone (605) 928-7961

Hospital & facility affiliations

  • Avera St Benedict Health Center - Cah Hospital, Parkston, SD, CCN 431330
  • Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340
  • Wagner Community Memorial Hospital - Cah Hospital, Wagner, SD, CCN 431315

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Benedict Health Center Current Accepting new patients
St Benedict Health Center CurrentSince May 29, 2018 Accepting new patients
St. Benedict Health Center CurrentSince May 29, 2018 Accepting new patients

Locations

401 W Glynn Dr
Parkston, SD 57366
Phone (605) 928-3311

410 W 16th Ave
Tyndall, SD 57066
Phone (605) 589-2158

Interoperability endpoints

  • Direct secure messaging: annie.thury@avera.sdhealthlink.net

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 4

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1639617731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "AVON",
            "state": "SD",
            "postal_code": "573150064",
            "telephone_number": "605-286-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 16TH AVE",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "570662318",
            "telephone_number": "605-589-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURY",
        "first_name": "ANNIE",
        "middle_name": "ELIZABETH",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyndall, SD

Sources for this page

Verify at the official NPI Registry.