Laura Bleeker, NP-C
Individual provider Active NPI Family Nurse Practitioner · Sioux Falls, SD
NPI 1992386486 · NPPES record last updated Apr 27, 2021
Key facts
- NPI
- 1992386486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CP002003 (SD)
- Practice address
- 6100 S Louise Ave Ste 2100
Sioux Falls, SD 57108-6029 - Phone
- (605) 504-1100
- NPI assigned
- Apr 16, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210729003863 | SD | Practitioner - Nurse Practitioner | 7315340114 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP002003 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients |
Locations
1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000
6100 S Louise Ave
Ste 2100
Sioux Falls, SD 57108
Phone (605) 504-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP002003 | SD | Yes |
Addresses
Primary practice location
6100 S Louise Ave Ste 2100
Sioux Falls, SD 57108-6029
Mailing address
6100 S Louise Ave Ste 2100
Sioux Falls, SD 57108-6029
Phone (605) 504-1100
Other practice location 1
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone (605) 322-2000
Other providers in Sioux Falls, SD
- Adam R Bleeker
- Bonnie L. Bleeker
- Brooke Sheridan Bleeker
- Hailey Bleeker
- Jonathan S Bleeker
- Emily Blegen
- Michelle J Bleile
- Allen Deane Bliss
- Dianne Bliss
- Collin Jansen Block
All providers in Sioux Falls, SD · Family Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.