Healthcare Provider Details

I. General information

NPI: 1982569497
Provider Name (Legal Business Name): MS. TRACY LEAH SUMMERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 W 22ND ST
SIOUX FALLS SD
57105-1305
US

IV. Provider business mailing address

2501 W 22ND ST
SIOUX FALLS SD
57105-1305
US

V. Phone/Fax

Practice location:
  • Phone: 605-585-3606
  • Fax: 605-333-5387
Mailing address:
  • Phone: 605-585-3606
  • Fax: 605-333-5387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR031792
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: