Carrie Nadine Puetz, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A--112847 Issued in IA

Practice address

380 W Anchor Dr
North Sioux City, SD 57049-5273

Phone

(605) 360-5043

Fax

(612) 725-1246

NPI assigned

Sep 2, 2011

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1760763825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BAYBERRY CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041767",
            "telephone_number": "712-253-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W ANCHOR DR",
            "city": "NORTH SIOUX CITY",
            "state": "SD",
            "postal_code": "570495273",
            "telephone_number": "605-360-5043",
            "fax_number": "612-725-1246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Indian Hills Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511041857",
            "country_code": "US",
            "telephone_number": "605-360-5043",
            "fax_number": "712-294-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUETZ",
        "first_name": "CARRIE",
        "middle_name": "NADINE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A--112847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Sioux Dental Clinic
• Michael O'Neal
• Michael Oberle, DO
• Outpost Optical Inc
• Beverly Plantenberg, RN
• Euclid Jerome St Hill, M.D.
• St. Luke's Health Resources (St. Luke's PT/OT Clinics)

• Family Nurse Practitioner in North Sioux City, SD
• Providers in North Sioux City, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.