Individual provider Active NPI

Rebekah Ruth Storm, CNP

  • Family Nurse Practitioner
  • Watertown, SD
National Provider Identifier
1942775713
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001470 Issued in SD
Practice address
506 1St Ave SE
Watertown, SD 57201-4499
Phone
(605) 886-8482
Fax
(605) 884-4300
NPI assigned
Oct 9, 2018
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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 CP001470 SD Primary

Addresses

Primary practice location

506 1St Ave SE
Watertown, SD 57201-4499

Mailing address

506 1St Ave SE
Watertown, SD 57201-4499
Phone (605) 886-8482

Other identifiers 1

IdentifierTypeStateIssuer
CP001470OtherSDSTATE LICENSE NUMBER

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
I20190109001691 SD Practitioner - Nurse Practitioner 0446596662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
61.99 of 100Reported as group
Quality
31.99
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Regional Medical Center Inc CurrentSince Apr 4, 2022 Accepting new patients
Huron Regional Medical Center, Inc CurrentSince Apr 4, 2022 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
T & L Quick Care PC CurrentSince Dec 1, 2019 Accepting new patients
American Advanced Practice Network, P.C. CurrentSince Dec 1, 2019 Accepting new patients
Women's Wellness Center, Prof. L.L.C. Past Accepting new patients

Locations

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

534 Oregon Ave SE
Huron, SD 57350
Phone (605) 353-7660

1056 29th St SE
Watertown, SD 57201
Phone (605) 214-5762

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3382/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1942775713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014499",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014499",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "REBEKAH",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "CP001470",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.