SHANNA LYNN KONZ (NPI# 1811299266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811299266 |
| Entity Type | Individual |
| Full Name | SHANNA LYNN KONZ |
| Other Name | SHANNA LYNN STEIN |
| Credential | CNP |
| Practice Address |
1500 W 22nd St Ste 401 Sioux Falls SD 57105-7702 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053284600 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CP000626 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 W 22ND ST STE 401 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730356 | Tim M Ridgway | Internal Medicine | 1500 W 22nd St, Ste 101, Sioux Falls, SD 57105-1503 | 2005-06-16 |
| 1265928907 | Ashley Nicole Moisan | Nurse Practitioner | 1500 W 22nd St, Sioux Falls, SD 57105-7702 | 2018-07-05 |
| 1871001495 | Andrea Neil Nelson | Registered Nurse | 1500 W 22nd St, Sioux Falls, SD 57105-7702 | 2018-01-17 |
| 1407309339 | Shelby Brown | Genetic Counselor, MS | 1500 W 22nd St, #401, Sioux Falls, SD 57105-7702 | 2016-07-27 |
| 1285007773 | Erin E Vande Lune | Advanced Practice Midwife | 1500 W 22nd St, Suite 301, Sioux Falls, SD 57105-7702 | 2015-11-05 |
| 1811379308 | Raeann Kragenbring | Genetic Counselor, MS | 1500 W 22nd St, Suite 401, Sioux Falls, SD 57105-7702 | 2015-06-22 |
| 1558769356 | Lindsay Dawn Horstman | Nurse Practitioner | 1500 W 22nd St, Ste 401, Sioux Falls, SD 57105-7702 | 2014-12-09 |
| 1780928366 | Lior Borovik | Genetic Counselor, MS | 1500 W 22nd St, Suite 401, Sioux Falls, SD 57105-7702 | 2012-11-20 |
| 1598010662 | Betsy Jo Rentschler | Nurse Practitioner | 1500 W 22nd St, Ste 402, Sioux Falls, SD 57105-7702 | 2012-07-16 |
| 1487923991 | Sanford Clinic | Genetic Counselor, MS | 1500 W 22nd St, Ste 401, Sioux Falls, SD 57105-7702 | 2011-12-29 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059057 | Minx Damron Fite | Nurse Practitioner | 701 S Cloudas Ave, Sioux Falls, SD 57103-2421 | 2020-09-26 |
| 1164035945 | Channing Nordin | Nurse Practitioner | 7421 W 50th St, Sioux Falls, SD 57106-7647 | 2020-08-31 |
| 1790312478 | Spencer Robert Taylor | Nurse Practitioner | 5919 S Remington Pl Ste 200, Sioux Falls, SD 57108-5143 | 2020-03-24 |
| 1639678956 | Carrie Hunt | Nurse Practitioner | 1305 West 18th Street, Emergency Department, Sioux Falls, SD 57105 | 2018-02-02 |
| 1194177691 | Tracy Salameh | Nurse Practitioner | 620 E 54th St N, Sioux Falls, SD 57104-0641 | 2016-07-07 |
| 1396089900 | Sanford Clinic | Nurse Practitioner | 1309 W 17th St Ste 102, Sioux Falls, SD 57104-4663 | 2012-11-20 |
| 1205160652 | Tiffanie Renee Vaneimeren | Nurse Practitioner | 808 W Chicory Ln, Sioux Falls, SD 57108-2808 | 2009-10-01 |
| 1285855155 | Kelly S Hefti | Nurse Practitioner | 900 E 54th St, Ste 200, Sioux Falls, SD 57104 | 2007-05-01 |
| 1962541854 | Susan E Weaver | Nurse Practitioner | 2020 S Norton Ave, Sioux Falls, SD 57105-2835 | 2007-02-06 |
| 1992771760 | Melissa Sheree Hoogeveen | Nurse Practitioner | 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 | 2006-02-23 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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| 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.