Individual provider Active NPI

Lindsay Rae Weber, CNP

  • Family Nurse Practitioner
  • Parkston, SD
National Provider Identifier
1770867715
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000672 Issued in SD
Practice address
401 W Glynn Dr
Parkston, SD 57366-9605
Phone
(605) 928-3311
Fax
(605) 928-7368
NPI assigned
Oct 10, 2011
Last updated
Aug 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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 CP000672 SD Primary

Addresses

Primary practice location

401 W Glynn Dr
Parkston, SD 57366-9605

Mailing address

401 W Glynn Dr
Parkston, SD 57366-9605

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
I20111130000762 SD Practitioner - Nurse Practitioner 5698949618 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Benedict Health Center CurrentSince Sep 30, 2011 Accepting new patients
St Benedict Health Center Current Accepting new patients
St Benedict Health Center CurrentSince Sep 30, 2011 Accepting new patients
Landmann Jungman Memorial Hospital Corporation CurrentSince Jan 16, 2024 Accepting new patients
Landmann Jungman Memorial Hospital Corporation CurrentSince Jan 16, 2024 Accepting new patients

Locations

401 W Glynn Dr
Parkston, SD 57366
Phone (605) 928-3311

610 Billars St
Scotland, SD 57059
Phone (605) 583-2226

Interoperability endpoints

  • Direct secure messaging: lindsay.weber@avera.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera St. Benedict Health CenterParkston, SD, CCN 431330 Hospital Corporate Officer
Operational/Managerial Control
Sep 1, 2022
Sep 1, 2022
St Benedict Health CenterParkston, SD, CCN 43Z330 Hospital Corporate Officer
Operational/Managerial Control
Sep 1, 2022
Sep 1, 2022
Avera St Benedict Certified Rural Health Clinic/Lake Andes SiteLake Andes, SD, CCN 433408 Rural health clinic Corporate Officer
Operational/Managerial Control
Sep 1, 2022
Sep 1, 2022
Avera St Benedict CRHC TrippTripp, SD, CCN 433410 Rural health clinic Corporate Officer
Operational/Managerial Control
Sep 1, 2022
Sep 1, 2022
Avera St Benedict Certified Rural Health Clinic/Parkston SiteParkston, SD, CCN 433409 Rural health clinic Corporate Officer
Operational/Managerial Control
Sep 1, 2022
Sep 1, 2022

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1770867715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W GLYNN DR",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573669605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W GLYNN DR",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573669605",
            "telephone_number": "605-928-3311",
            "fax_number": "605-928-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "LINDSAY",
        "middle_name": "RAE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkston, SD

Sources for this page

Verify at the official NPI Registry.