Healthcare Provider Details

I. General information

NPI: 1427997626
Provider Name (Legal Business Name): AMANDA ERHARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 5TH ST
RAPID CITY SD
57701-6000
US

IV. Provider business mailing address

16870 227TH ST
NEW UNDERWOOD SD
57761-6115
US

V. Phone/Fax

Practice location:
  • Phone: 605-415-5211
  • Fax:
Mailing address:
  • Phone: 605-415-5211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200422
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: