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Individual provider Active NPI

Brittany Marie Lyle

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1659931822
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP001580 Issued in SD
Practice address
521 N Main Ave Ste 100
Sioux Falls, SD 57104-5947
Phone
(605) 367-8793
NPI assigned
Jun 19, 2019
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP001580 SD Primary

Addresses

Primary practice location

521 N Main Ave Ste 100
Sioux Falls, SD 57104-5947

Mailing address

521 N Main Ave Ste 100
Sioux Falls, SD 57104-5947
Phone (605) 367-8793

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191002003720 SD Practitioner - Nurse Practitioner 6002146164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Sioux FallsGroup PAC ID 7810943859, 21 clinicians

Practice addresses (Care Compare)

521 N Main Ave
Suite 100
Sioux Falls, SD 57104-5947
Phone (605) 367-8793

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP001580SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Sioux Falls CurrentSince Jul 13, 2019 Accepting new patients
City of Sioux Falls CurrentSince Jul 13, 2019 Accepting new patients
City of Sioux Falls Past Accepting new patients

Locations

1722 E 8th St
Sioux Falls, SD 57103
Phone (605) 367-8793

410 N Valley View Rd
Sioux Falls, SD 57107
Phone (605) 367-8793

521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029

601 N Spring Ave
Sioux Falls, SD 57104
Phone (605) 321-4879

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1659931822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N MAIN AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045947",
            "telephone_number": "605-367-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N MAIN AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045947",
            "telephone_number": "605-367-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLE",
        "first_name": "BRITTANY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.