Individual provider · Type 1 NPI

Tavia Lee Pitsor, CNP

Nurse Practitioner · Rapid City, SD

NPI number 1063387900 Active

Practice location

353 Fairmont Blvd
Rapid City, SD 57701-7375

Mailing address

13842 Riata Loop
Piedmont, SD 57769-5027

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCP003848 (SD)

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 wit…

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About NPI 1063387900

Tavia Lee Pitsor, CNP's National Provider Identifier is 1063387900, issued on Oct 9, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rapid City, SD. The record was last updated on Oct 9, 2025.