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COVENANT MEDICAL SPECIALTY LLC
NPI 1912876590
Nurse Practitioner - Family in Aberdeen, SD

Active since November 03, 2025
621 17TH AVE NE, ABERDEEN, SD 57401(918) 397-3328 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Covenant Medical Specialty Llc NPPES

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

COVENANT MEDICAL SPECIALTY LLC (NPI 1912876590) is a healthcare organization registered as a family in Aberdeen, South Dakota and active in the NPI registry since November 2025. The organization lists Susie Ervin Hinex, Owner, as its authorized official.

NPPES Registry Identity

NPI1912876590
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOVENANT MEDICAL SPECIALTY LLC
Location Address621 17TH AVE NEAberdeen, SD 57401-1446
Mailing Address621 17th Ave NeAberdeen, SD 57401-1446 · (918) 397-3328
Phone(918) 397-3328
Organization SubpartNo
Authorized OfficialSusie Ervin HinexOwner · (918) 397-3328
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
✔ NPI 1912876590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
621 17TH AVE NE, Aberdeen, SD 57401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Covenant Medical Specialty LLC's NPI number?

The NPI number for Covenant Medical Specialty LLC is 1912876590. It was assigned to this organization in the NPPES registry on November 3, 2025.

Where is Covenant Medical Specialty LLC located?

Covenant Medical Specialty LLC is located at 621 17th Ave NE, Aberdeen, SD 57401. The listed phone number is (918) 397-3328.

What is Covenant Medical Specialty LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Covenant Medical Specialty LLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.