Basic Information
Provider Information
NPI: 1891028031
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUGSPURGER
FirstName: KATIE
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5074
Address2:  
City: SIOUX FALLS
State: SD
PostalCode: 571175074
CountryCode: US
TelephoneNumber: 6053286548
FaxNumber: 6053286512
Practice Location
Address1: 1305 W 18TH ST
Address2:  
City: SIOUX FALLS
State: SD
PostalCode: 571050401
CountryCode: US
TelephoneNumber: 0653336688
FaxNumber: 6053331578
Other Information
ProviderEnumerationDate: 09/04/2009
LastUpdateDate: 04/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XCP000569SDY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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