Active NPI
American Advanced Practice Network, P.C.
- Nurse Practitioner
- Watertown, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- AMERICAN ADVANCED PRACTICE NETWORK, P.C.
- Practice address
- 1056 29TH St SE
Watertown, SD 57201-9120 - Phone
- (605) 753-0960
- NPI assigned
- Mar 13, 2019
- Last updated
- Nov 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allen Ewalt
- Title
- Operations Director
- Phone
- (646) 970-3538
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | ||
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
1056 29TH St SE
Watertown, SD 57201-9120
Mailing address
PO Box 269083
Lockbox #2035
Oklahoma City, OK 73126-9083
Other practice location 1
2355 Dakota Ave S
Huron, SD 57350-4334
Phone (605) 554-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, CO, NY, CA, DE, IN, VA, NC, TX, MA, FL, GA, CT, NJ, KY, AL
Enrollment records 16
National Provider Directory
National Provider DirectoryLocations
1501 Mountain View Ave
Longmont, CO 80501
Phone (719) 246-0555
515 Centerpoint Dr
Middletown, CT 06457
Phone (203) 559-8244
1260 McDuff Ave S
Jacksonville, FL 32205
Phone (904) 387-9406
10549 N Florida Ave
Ste I
Tampa, FL 33612
Phone (813) 220-1400
2185 E 53rd St
Davenport, IA 52807
Phone (563) 355-0081
214 Jackson St
Unit 2384
Sioux City, IA 51106
Phone (605) 214-5762
600 Somerdale Rd
Voorhees, NJ 08043
Phone (646) 970-9538
600 Somerdale Rd
Ste 105108
Voorhees, NJ 08043
Phone (609) 283-2176
125 Railroad Ave SE
Ste 1
Aberdeen, SD 57401
Phone (605) 725-5505
2355 Dakota Ave S
Huron, SD 57350
Phone (605) 554-2273
4748 Vly VW Blvd
NW 1022
Roanoke, VA 24012
Phone (540) 988-6117
Practitioners & affiliated clinicians
Practitioners 82
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Owingsville, KY
- NPI 1740681766
-
- Psychiatric/Mental Health Nurse Practitioner
- Trenton, NJ
- NPI 1770005167
-
- Family Nurse Practitioner
- Lynchburg, VA
- NPI 1730779109
-
- Family Nurse Practitioner
- San Pedro, CA
- NPI 1275748295
-
- Family Nurse Practitioner
- Newton, NC
- NPI 1316341738
-
- Family Nurse Practitioner
- Vestavia Hills, AL
- NPI 1710949912
-
- Family Nurse Practitioner
- Remington, VA
- NPI 1295048338
-
- Family Nurse Practitioner
- Wilmington, DE
- NPI 1194919506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668124800000",
"number": "1790244341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 269083",
"address_2": "LOCKBOX #2035",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731269083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1056 29TH ST SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572019120",
"telephone_number": "605-753-0960"
}
],
"practiceLocations": [
{
"address_1": "2355 Dakota Ave S",
"address_purpose": "LOCATION",
"city": "Huron",
"state": "SD",
"postal_code": "573504334",
"country_code": "US",
"telephone_number": "605-554-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AMERICAN ADVANCED PRACTICE NETWORK, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-13",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A",
"authorized_official_last_name": "EWALT",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "OPERATIONS DIRECTOR",
"authorized_official_telephone_number": "646-970-3538"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.