JAMES JOHN TIEDE (NPI# 1396988614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396988614 |
| Entity Type | Individual |
| Full Name | JAMES JOHN TIEDE |
| Credential | MD,FACP |
| Practice Address |
301 Becker Ave Sw Willmar MN 56201-3302 |
| Practice Telephone | 3202314688 |
| Practice Fax Number | 3203214875 |
| Mailing Telephone | 3202314688 |
| Mailing Fax Number | 3203214875 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
16989 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
301 BECKER AVE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436059 | Eric Julian Peterson | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2005-06-09 |
| 1831798131 | Nathan Goracke | Pharmacist | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2020-10-19 |
| 1063049955 | Amanda Marie Thompson | Pharmacist | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2020-03-23 |
| 1144874157 | Megan J Shelton | Nurse Practitioner | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2019-07-29 |
| 1952887531 | Brittany Hattie Frank | Nurse Practitioner | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2018-07-17 |
| 1003323304 | Kaylene Nichole Hill | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2018-01-08 |
| 1023521572 | Carris Health LLC | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1003329574 | Carris Health LLC | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1134632680 | Carris Health LLC | Social Worker | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1306359856 | Carris Health LLC | Hospice Care, Community Based | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134751274 | Specialized Medical Response, LLC | Internal Medicine | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2020-02-06 |
| 1598230138 | Allina Health System | Internal Medicine | 1055 Westgate Dr Ste 100, Saint Paul, MN 55114-1451 | 2018-10-10 |
| 1780117192 | Taryn Green | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-04-04 |
| 1063828150 | Daniel Kent Partain | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2014-07-09 |
| 1609215607 | Sara Suleman | Internal Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2013-06-23 |
| 1356669394 | Elizabeth Nassef Jeffrey | Internal Medicine | 420 Delaware St Se, Mayo Bldg B344, Mmc 603, Minneapolis, MN 55455-0341 | 2010-05-14 |
| 1578889424 | Emily Schafhauser | Internal Medicine | 345 Sherman St Ste 100, Saint Paul, MN 55102-2401 | 2010-04-18 |
| 1235177932 | Lisa Christine Illig | Internal Medicine | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2006-06-03 |
| 1992755151 | Molly A. Feely | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2006-05-10 |
| 1104801455 | Steven Duane | Internal Medicine | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2005-12-09 |
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| 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.