KATELIN MARIE SOODSMA


Address: 1417 S Cliff Ave, Suite 101a, Sioux Falls, SD 57105-1063
Phone: 6053226700

KATELIN MARIE SOODSMA (NPI# 1144635988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144635988
Entity Type Individual
Full Name KATELIN MARIE SOODSMA
Credential CNP
Practice Address 1417 S Cliff Ave
Suite 101a
Sioux Falls
SD 57105-1063
Mailing Address 2400 S. Minnesota Ave.
Ste. 100
Sioux Falls
SD 57105-3762
Practice Telephone 6053226700
Practice Fax Number 6053226701
Mailing Telephone 6053227510
Enumeration Date 2014-06-30
Last Update Date 2014-07-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
CP000863 SD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1417 S CLIFF AVE
SUITE 101A
City SIOUX FALLS
State SD
Zip Code 57105-1063

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619972783 Christopher Michael Hurley Internal Medicine 1417 S Cliff Ave, Suite 300, Sioux Falls, SD 57105-1022 2005-06-16
1538533427 Christina Jean Pekoske Physician Assistant 1417 S Cliff Ave, Suite 101, Sioux Falls, SD 57105-1022 2015-11-16
1386045862 Tabitha Marie Ammann Nurse Practitioner 1417 S Cliff Ave, Suite #101a, Sioux Falls, SD 57105-1022 2014-09-15
1568700631 Kali Swift Genetic Counselor, MS 1417 S Cliff Ave, Suite 100, Sioux Falls, SD 57105-1022 2013-01-24
1376716647 Annette Lee Siewert Obstetrics & Gynecology 1417 S Cliff Ave, Ste. 401, Sioux Falls, SD 57105-1022 2008-04-08
1770753246 Avera Mckennan Clinic/Center 1417 S Cliff Ave, Suite 302, Sioux Falls, SD 57105-1062 2008-03-11
1619176328 Amber Ray Saloum Obstetrics & Gynecology 1417 S Cliff Ave, Suite 401, Sioux Falls, SD 57105-1064 2007-07-12
1760691794 Cristina Alison Hill Jensen Internal Medicine 1417 S Cliff Ave, Ste 300, Sioux Falls, SD 57105-1062 2007-05-22
1588871859 Jason Lewis Picconi Medical Genetics 1417 S Cliff Ave, Plaza 1, Suite 100, Sioux Falls, SD 57105-1022 2007-05-17
1639240732 Leslie N. Heddleston Obstetrics & Gynecology 1417 S Cliff Ave, Ste 100, Sioux Falls, SD 57105-1063 2006-11-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871117549 Ashlesha Ravindra Bagwe Student in an Organized Health Care Education/Training Program Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 2020-05-29
1306494489 Kelsey Elaine Kruse Counselor 3101 West 41st, Sioux Falls, SD 57105 2019-08-30
1902388341 Sarah Tacke Nurse Practitioner 1301 West 18th Street, Sioux Falls, SD 57105 2018-09-02
1235624727 Mahum Shahid Student in an Organized Health Care Education/Training Program 1400 W. 22nd St, Sioux Falls, SD 57105 2018-06-27
1942790126 Smitha Narayana Gowda Student in an Organized Health Care Education/Training Program 1400 22nd Street, Sioux Falls, SD 57105 2018-05-14
1326538554 Mali Elizabeth Teller Speech-Language Pathologist 2501 W. 26th Street, Sioux Falls, SD 57105 2018-05-14
1871081505 Abdelmohaymin Abdalla Abufatima Abdalla Student in an Organized Health Care Education/Training Program Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 2018-04-27
1710474697 Moataz Ellithi Student in an Organized Health Care Education/Training Program 1400 W. 22nd St., Sioux Falls, SD 57105 2018-04-17
1366948663 Holly Ahlers Registered Nurse 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 2018-04-04
1558864124 Darcy Lee Jensen Counselor 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 2018-03-09
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902391287 Alison Serck Nurse Practitioner 4201 S Minnesota Ave Ste 112, Sioux Falls, SD 57105-6706 2018-06-28
1457327702 Kristine I Gaster Nurse Practitioner 1000 E. 21st St., Ste. 1200, Sioux Falls, SD 57105 2006-02-27
1235770231 Christopher Gacke Nurse Practitioner 1301 W 18th St, Sioux Falls, SD 57105-0401 2019-10-01
1780134023 Andrew Jacob Murtha Nurse Practitioner 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 2016-10-11
1477919421 Elizabeth Lapp Nurse Practitioner 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 2016-01-06
1346646833 Chelsey M Sundberg Nurse Practitioner 1200 S 7th Ave, Sioux Falls, SD 57105-0900 2014-11-10
1356684492 Leann Kay Batiz Nurse Practitioner 1905 W 57th St, Ste 1a, Sioux Falls, SD 57108-2893 2013-03-27
1518283779 Michelle M Vandemark Nurse Practitioner 1205 S Grange Ave Ste 201, Sioux Falls, SD 57105-0414 2010-04-13
1023191343 Jamie Marie Hansberger Nurse Practitioner 1309 W 17th St, Ste. 101, Sioux Falls, SD 57104-4663 2006-10-23
1427028893 Tamara J. Top Nurse Practitioner 1309 W 17th St, Ste 101, Sioux Falls, SD 57104-8805 2006-01-26
Find all providers in SIOUX FALLS

Competitor

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City SIOUX FALLS
Zip Code 57105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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