Robin R Peterson-Lund, CNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R015577 Issued in SD

Practice address

503 W Pine St
Philip, SD 57567-3300

Phone

(605) 859-2566

Fax

(605) 859-2948

NPI assigned

Jan 24, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

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 and National Provider Directory roles.

• Philip Clinic

  • Clinic/Center
  • Philip, SD
  • NPI 1609453422
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1962472704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W PINE ST",
            "address_2": "PO BOX 550",
            "city": "PHILIP",
            "state": "SD",
            "postal_code": "575673300",
            "telephone_number": "605-859-2566",
            "fax_number": "605-859-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W PINE ST",
            "city": "PHILIP",
            "state": "SD",
            "postal_code": "575673300",
            "telephone_number": "605-859-2566",
            "fax_number": "605-859-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-LUND",
        "first_name": "ROBIN",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "R015577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6825910",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly a. Trask, D.D.S., Prof. L.L.C.
• Courtney Larson Kjerstad, PHARM.D.
• Kayli Ellen Jean Kjerstad, RN
• Jenna M Maag, NP
• Ronald G Mann, DDS
• Philip Ambulance Service
• Philip Clinic
• Philip Health Services, Inc.
• Philip Health Services, Inc.
• Philip Health Services, Inc.

• Family Medicine Physician in Philip, SD
• Providers in Philip, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.