Shannon Alice Ladd, CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

CP001916 Issued in SD

Practice address

101 S Front St
Chamberlain, SD 57325-1615

Phone

(605) 234-6584

NPI assigned

Dec 22, 2020

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCIBCD

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.

• Legacy Medical LLC

  • Adult Medicine Physician
  • Bismarck, ND
  • NPI 1619594637

  SD

  Medicare reassignment Care Compare group NPD
• Legacy Primary Care PLLC

  • Adult Medicine Physician
  • Grand Forks, ND
  • NPI 1265277115

  SD

  Medicare reassignment NPD
• Avera McKennan

  • Family Medicine Physician
  • Chamberlain, SD
  • NPI 1134139215
  NPD (past)
• Hospice Preferred Choice, Inc.

  • Community Based Hospice Care Agency
  • Sioux Falls, SD
  • NPI 1255358248
  NPD (past)
• Hospice Preferred Choice, Inc.

  • Community Based Hospice Care Agency
  • Omaha, NE
  • NPI 1275575599
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera Queen of Peace

  • Critical Access Hospital
  • Mitchell, SD
  • NPI 1992466635

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Medical LLC 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1982291209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 ANTHONY AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573016258",
            "telephone_number": "605-999-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S FRONT ST",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573251615",
            "telephone_number": "605-234-6584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 N Sycamore Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571105737",
            "country_code": "US",
            "telephone_number": "605-361-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADD",
        "first_name": "SHANNON",
        "middle_name": "ALICE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SD",
            "license": "CP001916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Keever-Ward, MSPT,CPI
• Kasey Layne Kerner, CNP
• Leslie Rae Kerwin
• Cory Lynn Kirby, CRNA
• Sara Kay Klein, CNP
• Cassi Lynne Leiferman, PHARM.D.
• Tanya Cook Letham, PA
• Amber Lynn Lockwood, CRNA
• Jeremy Brian Lombardoni, CRNA
• Hope Lutter, MPT

• All providers in Chamberlain, SD
• Primary Care Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.