KACY PETERSON DCLS
NPI 1114860277
Pathology - Clinical Laboratory Director, Non-physician in Sioux Falls, SD

Active since April 13, 2026
1301 S CLIFF AVE, SIOUX FALLS, SD 57105(605) 322-7068 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kacy Peterson Dcls NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KACY PETERSON DCLS (NPI 1114860277) is an individual clinical laboratory director, non-physician in Sioux Falls, South Dakota and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1114860277
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameKACY PETERSONCredential: DCLS
Location Address1301 S CLIFF AVESioux Falls, SD 57105-1005
Mailing Address2817 E Sunflower CirBrandon, SD 57005-6709 · (605) 350-3680
Sole ProprietorNo
Enumeration DateApril 13, 2026
NPPES CertifiedApril 13, 2026
NPI 1114860277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
1301 S CLIFF AVE, Sioux Falls, SD 57105

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1301 S CLIFF AVE, SUITE 610
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE, SUITE 700
SIOUX FALLS, SD 57105
Nurse Practitioner
1301 S CLIFF AVE, STE. 601
SIOUX FALLS, SD 57105
Psychiatry & Neurology (Neurology)
1301 S CLIFF AVE, SUITE 506
SIOUX FALLS, SD 57105
Pharmacist
1301 S CLIFF AVE, SUITE 400
SIOUX FALLS, SD 57105
Registered Nurse
1301 S CLIFF AVE
SIOUX FALLS, SD 57105
Ophthalmology (Retina Specialist)
1301 S CLIFF AVE, SUITE 220
SIOUX FALLS, SD 57105
Physician Assistant (Medical)
1301 S CLIFF AVE, SUITE 506
SIOUX FALLS, SD 57105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kacy Peterson's NPI number?

The NPI number for Kacy Peterson is 1114860277. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Kacy Peterson located?

Kacy Peterson practices at 1301 S Cliff Ave, Sioux Falls, SD 57105. The listed phone number is (605) 322-7068.

What is Kacy Peterson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Kacy Peterson was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.