Healthcare Provider Details

I. General information

NPI: 1336079078
Provider Name (Legal Business Name): SACHIKO EVANS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E 10TH ST
PLANKINTON SD
57368-2033
US

IV. Provider business mailing address

1400 E 10TH ST
PLANKINTON SD
57368-2033
US

V. Phone/Fax

Practice location:
  • Phone: 605-942-5437
  • Fax:
Mailing address:
  • Phone: 605-942-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR053571
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: