Stacy Marie Bissoon, CNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

CP000927 Issued in SD

Practice address

5128 S Cliff Ave Ste 102
Sioux Falls, SD 57108-5454

Phone

(605) 206-3839

NPI assigned

May 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1760838098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 S CLIFF AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085454",
            "telephone_number": "605-206-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 S CLIFF AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085454",
            "telephone_number": "605-206-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSOON",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "SD",
            "license": "CP000927",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SD",
            "license": "CP000927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Bishop, RBT
• Cristine Bishop, RN
• Donald T Bishop, MD
• Devin Bissoon, M.D.
• Sarah Bissoon, CRNA
• Alexandre Bendavid Bitton, CNP
• Nathaniel E Bixby, DC
• Rebecca Bixler, LCSW-PIP
• Paul M Bjordahl, MD
• Danielle Bjork, EDS

• Women's Health Nurse Practitioner in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Women's Health Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.