Healthcare Provider Details

I. General information

NPI: 1992200232
Provider Name (Legal Business Name): DANIELLE RAE AKASON PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 BLACK HAWK RD STE 4
BLACK HAWK SD
57718-3315
US

IV. Provider business mailing address

8000 BLACK HAWK RD STE 4
BLACK HAWK SD
57718-3315
US

V. Phone/Fax

Practice location:
  • Phone: 605-431-3388
  • Fax: 605-403-5356
Mailing address:
  • Phone: 605-431-3388
  • Fax: 605-403-5356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR045554
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCP002312
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: