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

NPI Status: Active since April 13, 2026

Contact Information

1301 S CLIFF AVE
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-7068

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  • Individual
  • Female
  • Pathology
  • Clinical Laboratory Director, Non-physic...

About KACY PETERSON

This page provides the complete NPI Profile along with additional information for Kacy Peterson, a provider established in Sioux Falls, South Dakota with a medical specialization in Pathology, focusing in clinical laboratory director, non-physician . The healthcare provider is registered in the NPI registry with number 1114860277 assigned on April 2026. The practitioner's primary taxonomy code is 247ZC0005X. The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1114860277
Provider Name
KACY PETERSON DCLS
Gender
Female
Entity Type
Individual
Location Address
1301 S CLIFF AVE SIOUX FALLS, SD 57105
Location Phone
(605) 322-7068
Mailing Address
2817 E SUNFLOWER CIR BRANDON, SD 57005
Mailing Phone
(605) 350-3680
Is Sole Proprietor?
No
Enumeration Date
04-13-2026
Last Update Date
04-13-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Clinical Laboratory Director, Non-physician

Taxonomy Code
247ZC0005X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114860277, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 8 → 16 → 7 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 6 + 6 + 0 + 2 + 1 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1114860277.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner
1301 S CLIFF AVE, SUITE 506
SIOUX FALLS, SD 57105
Psychiatry & Neurology (Neurology)
1301 S CLIFF AVE, SUITE 506
SIOUX FALLS, SD 57105
Psychiatry & Neurology (Neurology)
1301 S CLIFF AVE, SUITE 506
SIOUX FALLS, SD 57105
Psychiatry & Neurology (Neurology)
1301 S CLIFF AVE, SUITE 506
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE, SUITE 700
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE, SUITE 700
SIOUX FALLS, SD 57105
Pathology (Hematology)
1301 S CLIFF AVE, SUITE 700
SIOUX FALLS, SD 57105
Physician Assistant (Medical)
1301 S CLIFF AVE, SUITE 506
SIOUX FALLS, SD 57105
Psychiatry & Neurology (Neurology)
1301 S CLIFF AVE, SUITE 506
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE, SUITE 700
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE, SUITE 700
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 S CLIFF AVE, SUITE 506
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
Physical Therapist
1301 S CLIFF AVE, SUITE 402
SIOUX FALLS, SD 57105
Durable Medical Equipment & Medical Supplies
1301 S CLIFF AVE, STE. 220
SIOUX FALLS, SD 57105
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 (Adult Health)
1301 S CLIFF AVE
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 S CLIFF AVE, #610
SIOUX FALLS, SD 57105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114860277, enumerated as an "individual" on April 13, 2026.

The provider is located at 1301 S CLIFF AVE SIOUX FALLS, SD 57105 and the phone number is (605) 322-7068.

Pathology with taxonomy code 247ZC0005X and a focus in Clinical Laboratory Director, Non-physician.