Active NPI
Thea Beyer, DNP, APRN, CPNP, RN
- Pediatric Nurse Practitioner
- Rapid City, SD
National Provider Identifier
1912688045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- CP002999
- Practice address
- 640 Flormann St
Rapid City, SD 57701-4679 - Phone
- (612) 910-0278
- Fax
- (605) 755-3129
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | R050996 | SD | |
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 2465896 | MN | |
| Pediatric Nurse Practitioner | 363LP0200X | CP002999 | SD | Primary |
Addresses
Primary practice location
640 Flormann St
Rapid City, SD 57701-4679
Mailing address
155 N Wilder Blvd
Hermosa, SD 57744-5424
Phone (612) 910-0278
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2465896 | MN | MD | Neonatal Intensive Care Registered Nurse |
| CP002999 | SD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Past | Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
640 Flormann St
Rapid City, SD 57701
Phone (605) 341-3140
Interoperability endpoints
- trogers.160013@regionalhealth.sdhealthlink.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
-
- Family Medicine Physician
- Wall, SD
- NPI 1265811285
-
- General Acute Care Hospital
- Rapid City, SD
- NPI 1437122009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1912688045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N WILDER BLVD",
"city": "HERMOSA",
"state": "SD",
"postal_code": "577445424",
"telephone_number": "612-910-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 FLORMANN ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577014679",
"telephone_number": "612-910-0278",
"fax_number": "605-755-3129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYER",
"first_name": "THEA",
"credential": "DNP, APRN, CPNP, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "SD",
"license": "R050996",
"primary": false
},
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "MN",
"license": "2465896",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SD",
"license": "CP002999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.