LISA ANN PENTECOST CNP NPI 1447373329

NPI Information

NPI: 1447373329
Provider Name: LISA ANN PENTECOST, CNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
353 FAIRMONT BLVD
RAPID CITY, SD
ZIP 57701
Phone: (605) 719-8382
Get Directions

Lisa Ann Pentecost, CNP is a neonatal nurse practitioner in Rapid City, SD. Lisa Ann Pentecost, CNP NPI is 1447373329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

353 FAIRMONT BLVD
RAPID CITY, SD
ZIP 57701-375
Phone: (605) 719-8382
Fax: (605) 719-4934

The enumeration date for this NPI number is 4/7/2007 and was last updated on 2/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	0137	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6829780	MEDICAID	SOUTH DAKOTA
2	0137	OTHER	SOUTH DAKOTA	CNP LICENSE
3	4993198	OTHER	SOUTH DAKOTA	WELLMARK
4	R025334	OTHER	SOUTH DAKOTA	RN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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