Individual
LISA ANN PENTECOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 719-8382
(605) 719-4934
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 719-8382
(605) 719-4934
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0137
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137
CNP LICENSE
SD
01
—
4993198
WELLMARK
SD
05
—
6829780
—
SD
01
—
R025334
RN LICENSE
SD
Enumeration date
04/07/2007
Last updated
02/16/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us