Individual provider Active NPI

Amy Sue Thompson, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1669752358
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000661 Issued in SD
Practice address
1301 S. Cliff Ave.
Ste. 401
Sioux Falls, SD 57105-1023
Phone
(605) 322-7300
Fax
(605) 322-7301
NPI assigned
Aug 25, 2011
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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 CP000661 SD Primary

Addresses

Primary practice location

1301 S. Cliff Ave.
Ste. 401
Sioux Falls, SD 57105-1023

Mailing address

2400 S. Minnesota Ave
Ste. 100
Sioux Falls, SD 57105-3762
Phone (605) 322-7510

Other identifiers 2

IdentifierTypeStateIssuer
6836120MedicaidSD
6836123MedicaidSD

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
I20111027000521 SD Practitioner - Nurse Practitioner 3476726035 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Feb 17, 2014 Accepting new patients
Avera McKennan CurrentSince Feb 17, 2014 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

116 W 69th St
Sioux Falls, SD 57108
Phone (605) 322-1530

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

1301 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-7300

1301 S Cliff Ave
Ste 610
Sioux Falls, SD 57105
Phone (605) 322-8860

1417 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-8920

4500 N Lewis Ave
Sioux Falls, SD 57104
Phone (605) 322-2980

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.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1669752358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S. MINNESOTA AVE",
            "address_2": "STE. 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053762",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S. CLIFF AVE.",
            "address_2": "STE. 401",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051023",
            "telephone_number": "605-322-7300",
            "fax_number": "605-322-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6836120",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6836123",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.