SARAH TACKE


Address: 1301 West 18th Street, Sioux Falls, SD 57105
Phone: 6053122200

SARAH TACKE (NPI# 1902388341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902388341
Entity Type Individual
Full Name SARAH TACKE
Credential CNP
Practice Address 1301 West 18th Street
Sioux Falls
SD 57105
Mailing Address 3529 South Grace Circle
Sioux Falls
SD 57103
Practice Telephone 6053122200
Practice Fax Number 6053122286
Mailing Telephone 6057603935
Enumeration Date 2018-09-02
Last Update Date 2018-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
CP001431 SD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1301 WEST 18TH STREET
City SIOUX FALLS
State SD
Zip Code 57105

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871117549 Ashlesha Ravindra Bagwe Student in an Organized Health Care Education/Training Program Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 2020-05-29
1306494489 Kelsey Elaine Kruse Counselor 3101 West 41st, Sioux Falls, SD 57105 2019-08-30
1235624727 Mahum Shahid Student in an Organized Health Care Education/Training Program 1400 W. 22nd St, Sioux Falls, SD 57105 2018-06-27
1942790126 Smitha Narayana Gowda Student in an Organized Health Care Education/Training Program 1400 22nd Street, Sioux Falls, SD 57105 2018-05-14
1326538554 Mali Elizabeth Teller Speech-Language Pathologist 2501 W. 26th Street, Sioux Falls, SD 57105 2018-05-14
1871081505 Abdelmohaymin Abdalla Abufatima Abdalla Student in an Organized Health Care Education/Training Program Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 2018-04-27
1710474697 Moataz Ellithi Student in an Organized Health Care Education/Training Program 1400 W. 22nd St., Sioux Falls, SD 57105 2018-04-17
1366948663 Holly Ahlers Registered Nurse 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 2018-04-04
1558864124 Darcy Lee Jensen Counselor 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 2018-03-09
1639678956 Carrie Hunt Nurse Practitioner 1305 West 18th Street, Emergency Department, Sioux Falls, SD 57105 2018-02-02
Find all providers in zip 57105

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922625854 Mindy Thompson Nurse Practitioner 2501 S Louis Ave, Sioux Falls, SD 57109-4601 2020-06-26
1518594134 Melissa Bader Nurse Practitioner 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 2020-03-24
1013567627 Kasandra Wheeler Nurse Practitioner 1309 W 17th St Ste 1, Sioux Falls, SD 57104-4663 2019-09-16
1679081350 Abby Jo Viereck Nurse Practitioner 2301 E 60th St N, Sioux Falls, SD 57104-0569 2018-01-17
1356851661 Alyssa Mae Welbig Nurse Practitioner 2315 W 57th St Ste 300, Sioux Falls, SD 57108-5163 2017-10-02
1023565645 Amanda Glanzer Nurse Practitioner 7701 W 65th St, Sioux Falls, SD 57106-8802 2016-09-01
1750737318 Steven Davis Nurse Practitioner 7231 W Chesapeake Ln, Sioux Falls, SD 57106-3842 2016-05-12
1609231943 Jena Burgess Nurse Practitioner 1417 S Cliff Ave Ste 300, Sioux Falls, SD 57105-1062 2015-12-30
1093154213 Jamie Kay Grant Nurse Practitioner 5009 S Louise Ave, Sioux Falls, SD 57108-2268 2013-06-20
1720324817 Ninel Nellie Ruzhitsky Nurse Practitioner 1000 E. 23rd Street, Suite 350, Sioux Falls, SD 57105-2140 2012-12-18
Find all providers in SIOUX FALLS

Competitor

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City SIOUX FALLS
Zip Code 57105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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