LAURA R WITHORNE-MALONEY CNP NPI 1255303707

NPI Information

NPI: 1255303707
Provider Name: LAURA R WITHORNE-MALONEY, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: AVERA MCKENNAN

PECOS Registration: Yes

Address:
4400 W 69TH ST
STE 500
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 322-7580
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Laura R Withorne-maloney, CNP is a family nurse practitioner in Sioux Falls, SD with 27 years of experience. Laura R Withorne-maloney, CNP NPI is 1255303707. 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:

4400 W 69TH ST
STE 500
SIOUX FALLS, SD
ZIP 57108-170
Phone: (605) 322-7580
Fax: (605) 322-7579

The NPI 1255303707 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 2/7/2006 and was last updated on 12/11/2013.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CP000224	SOUTH DAKOTA	No
2	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	0224	SOUTH DAKOTA	No
3	363LF0000X	Nurse Practitioner	Family	CP000224	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	1908517	MEDICAID	IOWA
2	0007942	OTHER	SOUTH DAKOTA	BLUE CROSS
3	22358	OTHER	SOUTH DAKOTA	MIDLANDS CHOICE
4	797890	OTHER	SOUTH DAKOTA	ARAZ/ AMERICA'S PPO
5	393603100	MEDICAID	MINNESOTA
6	57108D008	OTHER	SOUTH DAKOTA	WPS TRICARE
7	6826062	MEDICAID	SOUTH DAKOTA
8	25457	OTHER	SOUTH DAKOTA	SANFORD HEALTH PLAN
9	48D58WI	OTHER	MINNESOTA	CC SYSTEMS/ BLUE PLUS
10	151768	OTHER	MINNESOTA	UCARE
11	769191017347	OTHER	SOUTH DAKOTA	PREFERRED ONE
12	HP31902	OTHER	SOUTH DAKOTA	HEALTHPARTNERS
13	P00146949	OTHER	SOUTH DAKOTA	RR MEDICARE
14	S45966	MEDICARE UPIN	SOUTH DAKOTA
15	12242	MEDICAID	NORTH DAKOTA
16	S7942	MEDICARE PIN	SOUTH DAKOTA
17	9237794	OTHER	SOUTH DAKOTA	DAKOTACARE
18	92411422904	OTHER	MINNESOTA	PRIMEWEST
19	46022474340	MEDICAID	NEBRASKA

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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