Active NPI
Amber Lynn Otkin, CNM, WHNP
- Midwife
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- CM000112
- Practice address
- 1417 S Cliff Ave
Sioux Falls, SD 57105-1022 - Phone
- (605) 322-8945
- NPI assigned
- Sep 2, 2024
- Last updated
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | CP003339 | SD | |
| Midwife | 176B00000X | CM000112 | SD | Primary |
Addresses
Primary practice location
1417 S Cliff Ave
Sioux Falls, SD 57105-1022
Mailing address
1907 Country Club Dr
Elk Point, SD 57025-2179
Phone (507) 215-0209
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP003339 | SD | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Locations
1417 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-8920
Interoperability endpoints
- amber.otkin@avera.sdhealthlink.net
Organizations & group practices 5
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.
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera Medical Group Womens Health Specialists Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1336111962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1790519619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 COUNTRY CLUB DR",
"city": "ELK POINT",
"state": "SD",
"postal_code": "570252179",
"telephone_number": "507-215-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051022",
"telephone_number": "605-322-8945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTKIN",
"first_name": "AMBER",
"middle_name": "LYNN",
"credential": "CNM, WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SD",
"license": "CP003339",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "SD",
"license": "CM000112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.