Active NPI
Theresa Ann Person, M.D.
- Family Medicine Physician
- Vermillion, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LT1090
- Practice address
- 20 S Plum St
Vermillion, SD 57069-3346 - Phone
- (605) 624-9111
- Fax
- (605) 624-6636
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 48727 | MN | |
| Family Medicine Physician | 207Q00000X | LT1090 | SD | Primary |
Addresses
Primary practice location
20 S Plum St
Vermillion, SD 57069-3346
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Minnesota Medical School, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
515 S Moore St
Blue Earth, MN 56013-2158
Phone (507) 526-7388
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT1090 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Windom Area Hospital | Current | Accepting new patients | |
| United Hospital District Inc. | Past | Accepting new patients |
Locations
1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476
1600 N Kniss Ave
Luverne, MN 56156
Phone (507) 283-2321
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
Interoperability endpoints
- tperson769253@direct.centracare.com
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
-
- Critical Access Hospital
- Luverne, MN
- NPI 1497703045
-
- Family Medicine Physician
- Tracy, MN
- NPI 1699869875
-
- Critical Access Hospital
- Windom, MN
- NPI 1841288644
-
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
-
- Rural Health Clinic/Center
- Fairmont, MN
- NPI 1144984766
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Luverne, MN
- NPI 1033495379
-
- Critical Access Hospital
- Luverne, MN
- NPI 1497703045
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1689688921",
"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": "20 S PLUM ST",
"city": "VERMILLION",
"state": "SD",
"postal_code": "570693346",
"telephone_number": "605-624-9111",
"fax_number": "605-624-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSON",
"first_name": "THERESA",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "48727",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "LT1090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vermillion, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.