Tri-State Specialists, LLP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A143916 Issued in IA

Legal business name

TRI-STATE SPECIALISTS, LLP

Practice address

2730 Pierce St Ste 300
Sioux City, IA 51104-3765

Phone

(712) 224-8677

Fax

(712) 277-1662

NPI assigned

Jul 18, 2016

Last updated

Oct 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lee Michael Hilka

Title

Chief Executive Officer

Phone

(712) 226-7146

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1730532508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043796",
            "telephone_number": "712-224-8677",
            "fax_number": "712-277-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST STE 300",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043765",
            "telephone_number": "712-224-8677",
            "fax_number": "712-277-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE SPECIALISTS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "HILKA",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "712-226-7146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A143916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane S Townsend, D.C.
• Valery Tran, MD
• Tri State Nursing Enterprises Inc
• Tri State Nursing Services Inc
• Tri-State Dental
• Tri-State Specialists, LLP
• Trinity Home Health Services (Mercy Home Care, Sioux City)
• Trivium Life Services
• Tyler Trizila, LMSW
• Brandi Turkleson

• Family Nurse Practitioner in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.