JUDITH ANN TIEDE (NPI# 1427069624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427069624 |
| Entity Type | Individual |
| Full Name | JUDITH ANN TIEDE |
| Credential | APRN |
| Practice Address |
1313 Penn Ave N Minneapolis MN 55411-3047 |
| Mailing Address |
615 1st Ave Ne Ste 310 Minneapolis MN 55413-2419 |
| Practice Telephone | 6123024600 |
| Practice Fax Number | 6123024870 |
| Mailing Telephone | 6123024600 |
| Mailing Fax Number | 6123024870 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R-046467-5 | MN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 147853900 | 05 |
| Street Address |
1313 PENN AVE N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55411-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023095627 | Brownell Mack IIi | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2005-12-27 |
| 1831755776 | Maisee Moua-mcdaniel | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-05-16 |
| 1548723364 | Zadok Nampala | Social Worker | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-04-09 |
| 1013477348 | Lanette Howze | Community Health Worker | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-03-22 |
| 1043792666 | John Gatermann | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-08-30 |
| 1346729308 | Safiya Ahmed Abdullahi | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-08-10 |
| 1720576788 | Rachel Marie Freyberger | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-04-25 |
| 1902316821 | Vivian Ballah-swaray | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2017-10-05 |
| 1578080537 | Dal Vang Xiong | Registered Nurse | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2017-08-29 |
| 1184164337 | Shakeyla Barber | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411 | 2017-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101483 | Minnesota Mental Health Solutions | Social Worker | 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 | 2019-09-03 |
| 1154980233 | Access Group Home LLC | Home Health | 1122 Upton Ave N, Minneapolis, MN 55411 | 2019-06-11 |
| 1780036202 | Marcia Karen Powless | Registered Nurse | 2339 River Pointe Lane, Minneapolis, MN 55411 | 2016-07-08 |
| 1104287663 | Abdikarim Abdille | Contractor | 521 Lyn Park Cir N, Minneapolis, MN 55411 | 2016-03-11 |
| 1962801399 | Olu's Center | Clinic/Center | 1315 12th Ave N, Minneapolis, MN 55411 | 2014-08-21 |
| 1689086639 | Claudia Alejandra Patino Gonzalez | Student in an Organized Health Care Education/Training Program | 1020 West Broadway Avenue, Minneapolis, MN 55411 | 2014-05-27 |
| 1306283445 | Advanced Home Care | Home Health | 3000 Logan Ave N, Minneapolis, MN 55411 | 2013-05-30 |
| 1154766525 | Bassim Samadani Birkland | Student in an Organized Health Care Education/Training Program | Broadway Clinic, 1020 West Broadway, Minneapolis, MN 55411 | 2013-04-30 |
| 1720354004 | New Salem Metormorphosis Youth Program | Counselor | 2509 Bryant Ave North, Minneapolis, MN 55411 | 2012-03-30 |
| 1629387469 | Apose | Home Health | 2806 Girard Ave. North, Minneapolis, MN 55411 | 2010-09-28 |
| Find all providers in zip 55411 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780951103 | Helen Margaret Knox | Registered Nurse | Hennepin County Government Center A14, 300 So 6th St, Minneapolis, MN 55487-0001 | 2011-11-30 |
| 1023229085 | Patricia K. Cretilli | Registered Nurse | 5430 Edgewater Blvd, Minneapolis, MN 55417-2604 | 2007-05-24 |
| 1134497399 | Barbara Ann Erickson | Registered Nurse | 300 S 6th St, Government Center A1400, Minneapolis, MN 55487-0999 | 2011-12-02 |
| 1306049937 | Patricia Ann Michals | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2007-06-10 |
| 1447372024 | Nancy Ann Lundborg | Registered Nurse | 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 | 2007-04-04 |
| 1215018338 | Bonnie Jane Dawson | Registered Nurse | 1 Veterans Dr, Vamc, Pph, Minneapolis, MN 55417-2309 | 2006-10-17 |
| 1811093537 | Mary Gail Meyer | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-09-16 |
| 1154423515 | William Russell Johnson | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-09-05 |
| 1821000860 | Deadra Marie Dahl | Registered Nurse | 1 Veterans Dr, (116a)-mhc, Minneapolis, MN 55417-2309 | 2006-08-11 |
| 1871549014 | Carolyn Dianne Fick | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-05-26 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55411 |
Please comment or provide details below to improve the information on JUDITH ANN TIEDE.
| 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.