TAMMIE V SMART CNP NPI 1700852050

NPI Information

NPI: 1700852050
Provider Name: TAMMIE V SMART, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: AVERA MCKENNAN

PECOS Registration: Yes

Address:
1000 E. 23RD ST.
STE. 200
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-3035
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Tammie V Smart, CNP is a family nurse practitioner in Sioux Falls, SD with 29 years of experience. Tammie V Smart, CNP NPI is 1700852050. 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:

1000 E. 23RD ST.
STE. 200
SIOUX FALLS, SD
ZIP 57105-122
Phone: (605) 322-3035
Fax: (605) 322-3036

The NPI 1700852050 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 2/27/2006 and was last updated on 1/22/2018.

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	363LF0000X	Nurse Practitioner	Family	0413	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	0536219	MEDICAID	IOWA
2	244453	OTHER	SOUTH DAKOTA	MIDLANDS CHOICE
3	756174100	MEDICAID	MINNESOTA
4	0120187	OTHER	SOUTH DAKOTA	MEDICA
5	2197690	OTHER	SOUTH DAKOTA	ARAZ/ AMERICA'S PPO
6	HP47843	OTHER	SOUTH DAKOTA	HEALTHPARTNERS
7	4995003	OTHER	SOUTH DAKOTA	BLUE CROSS
8	57105AH05	OTHER	SOUTH DAKOTA	WPS TRICARE
9	490R3SM	OTHER	MINNESOTA	BLUE CROSS
10	490R3SM	OTHER	MINNESOTA	CC SYSTEMS/ BLUE PLUS
11	370624200	OTHER	SOUTH DAKOTA	DEPT OF LABOR
12	9247819	OTHER	SOUTH DAKOTA	DAKOTACARE
13	46022474342	MEDICAID	NEBRASKA
14	678061043068	OTHER	SOUTH DAKOTA	PREFERRED ONE
15	6827562	MEDICAID	SOUTH DAKOTA
16	92411422911	OTHER	MINNESOTA	PRIMEWEST
17	36793	OTHER	SOUTH DAKOTA	SANFORD HEALTH PLAN

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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