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ELAINE G HEADRICK CNP NPI 1336115609


NPI Information

NPI: 1336115609
Provider Name: ELAINE G HEADRICK, CNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
911 E. 20TH ST
STE 200
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-3455
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Elaine G Headrick, CNP is a women's health nurse practitioner in Sioux Falls, SD. Elaine G Headrick, CNP NPI is 1336115609. 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:

911 E. 20TH ST
STE 200
SIOUX FALLS, SD
ZIP 57105-044
Phone: (605) 322-3455
Fax: (605) 322-3456

The enumeration date for this NPI number is 2/27/2006 and was last updated on 12/20/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's Health0271SOUTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
128563OTHERSOUTH DAKOTASANFORD HEALTH PLAN
267B26HEOTHERMINNESOTACC SYSTEMS/ BLUE PLUS
3AH1451026885OTHERSOUTH DAKOTAPREFERRED ONE
46826982MEDICAIDSOUTH DAKOTA
5S7481MEDICARE PINSOUTH DAKOTA
61194219OTHERSOUTH DAKOTAARAZ/ AMERICA'S PPO
757105E002OTHERSOUTH DAKOTAWPS TRICARE
867B26HEOTHERMINNESOTABLUE CROSS
99240518OTHERSOUTH DAKOTADAKOTACARE
100585661MEDICAIDIOWA
110007481OTHERSOUTH DAKOTABLUE CROSS
12500016956OTHERSOUTH DAKOTARR MEDICARE
13140309OTHERMINNESOTAUCARE
14230278OTHERSOUTH DAKOTAMIDLANDS CHOICE
15579152900MEDICAIDMINNESOTA
16HP37108OTHERSOUTH DAKOTAHEALTHPARTNERS
17S99859MEDICARE UPINSOUTH DAKOTA
180701587OTHERSOUTH DAKOTAMEDICA
19370624200OTHERSOUTH DAKOTADEPT OF LABOR
2010025120100MEDICAIDNEBRASKA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.