KATELIN MARIE SOODSMA CNP NPI 1144635988

NPI Information

NPI: 1144635988
Provider Name: KATELIN MARIE SOODSMA, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: AVERA MCKENNAN

PECOS Registration: Yes

Address:
6100 S LOUISE AVE STE 1100
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 504-1900
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Katelin Marie Soodsma, CNP is an adult health nurse practitioner in Sioux Falls, SD with 10 years of experience. Katelin Marie Soodsma, CNP NPI is 1144635988. 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:

6100 S LOUISE AVE STE 1100
SIOUX FALLS, SD
ZIP 57108-030
Phone: (605) 504-1900

The NPI 1144635988 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 12/7/2020.

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	363LA2200X	Nurse Practitioner	Adult Health	CP000863	SOUTH DAKOTA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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