Individual provider Active NPI

Susan E Weaver, CNP

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1962541854
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SD-CNP-CP000307 Issued in SD
Practice address
2020 S Norton Ave
Sioux Falls, SD 57105-2835
Phone
(605) 322-3050
Fax
(605) 322-3051
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SD-CNP-CP000307 SD Primary

Addresses

Primary practice location

2020 S Norton Ave
Sioux Falls, SD 57105-2835

Mailing address

2020 S Norton Ave
Sioux Falls, SD 57105-2835
Phone (605) 322-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0307SDMDPhysical Therapy Assistant
SD-CNP-CP000307SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Counseling Service, Inc PastSince Jan 29, 2019 Accepting new patients
Avera McKennan Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962541854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S NORTON AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052835",
            "telephone_number": "605-322-3050",
            "fax_number": "605-322-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S NORTON AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052835",
            "telephone_number": "605-322-3050",
            "fax_number": "605-322-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "SD-CNP-CP000307",
            "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 Jul 8, 2007; 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.