Beth Amdahl, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0217 Issued in SD

Practice address

1310 W 22ND St
Sioux Falls, SD 57105-1501

Phone

(605) 782-2000

Fax

(605) 782-2721

NPI assigned

Sep 2, 2005

Last updated

Jul 13, 2026By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• LCM Pathologists PC

  • Clinical Medical Laboratory
  • Sioux Falls, SD
  • NPI 1770742496
  NPD (past)
• University Physician

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1942236096
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831183011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051501",
            "telephone_number": "605-782-2000",
            "fax_number": "605-782-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051501",
            "telephone_number": "605-782-2000",
            "fax_number": "605-782-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMDAHL",
        "first_name": "BETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6820278",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1151472",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Alzoubaidi, PH.D.
• Mohammad Alzoubaidi
• Amani Counseling, LLC
• Gary Lee Ambrose
• Catryna Ambroz, LPN
• Amedisys South Dakota LLC (Amedisys Home Health of Sioux Falls)
• Fawzi Mohammad Ameer, M.D.
• American Baptist Homes of the Midwest
• American Baptist Homes of the Midwest (Trail Ridge Retirement Community)
• American Baptist of the Midwest Foundation (Trail Ridge Home Care)

• Physician Assistant in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.