Healthcare Provider Details

I. General information

NPI: 1659944718
Provider Name (Legal Business Name): NATALIE NICOLE KEARNS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE KEARNS CARLBERG

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 W 18TH ST
SIOUX FALLS SD
57105-0401
US

IV. Provider business mailing address

47743 233A ST
EGAN SD
57024-6419
US

V. Phone/Fax

Practice location:
  • Phone: 605-333-1000
  • Fax:
Mailing address:
  • Phone: 715-505-9051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number245282
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: