TAMALA HERRON (NPI# 1497384655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497384655 |
| Entity Type | Individual |
| Full Name | TAMALA HERRON |
| Practice Address |
423 Great Oak Dr Waite Park MN 56387-2507 |
| Mailing Address |
891 Belsly Blvd Moorhead MN 56560-5055 |
| Practice Telephone | 3202815305 |
| Practice Fax Number | 3202815306 |
| Mailing Telephone | 2182874338 |
| Mailing Fax Number | 2182875928 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
423 GREAT OAK DR |
| City | WAITE PARK |
| State | MN |
| Zip Code | 56387-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043487044 | Ann Battle | Social Worker | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2008-05-09 |
| 1164020327 | Thomas Chatfield | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-10-11 |
| 1568079325 | Earnest Gardner | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-09-25 |
| 1477168631 | Morgan Payne | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-09-14 |
| 1619594264 | Brittany Hilden | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-06-30 |
| 1053934547 | Barry Wolff | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-05-19 |
| 1578192738 | Aleck Husby | Technician, Other | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-04-08 |
| 1104457324 | Colia Bynum | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-01-27 |
| 1881233179 | Courtney Groettum | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-01-03 |
| 1598303729 | Emily Larsen | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2019-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041269 | Kayli Marie Brzinski | Massage Therapist | 700 Division St, Waite Park, MN 56387 | 2020-01-03 |
| 1457836454 | Group Health Plan, Inc | Clinic/Center | 430 Great Oak Drive, Waite Park, MN 56387 | 2018-09-26 |
| 1467826016 | Nogob Transportion Inc | Non-emergency Medical Transport (VAN) | 427 Sundial Drive, Waite Park, MN 56387 | 2015-11-19 |
| 1790043271 | Ruth Marie Kuhlman | Psychologist | 110 2nd Street South, Suite 203, Waite Park, MN 56387 | 2012-05-02 |
| 1538463435 | Bjerke Counseling Services, LLC | Community/Behavioral Health | 110 Second Street, South, Suite 303, Waite Park, MN 56387 | 2011-01-06 |
| 1578799714 | Councseling Associates, Pa | Marriage & Family Therapist | 110 Second Street South, Suite 304, Waite Park, MN 56387 | 2009-06-02 |
| 1063678357 | Chiropractic Connection Pllc | Chiropractor | 2103 Frontage Rd N, #19, Waite Park, MN 56387 | 2008-08-06 |
| 1891972584 | Jill M Braaten | Chiropractor | 750 1st Street South, Suite 103, Waite Park, MN 56387 | 2008-01-25 |
| 1609053396 | Braaten Chiropractic LLC | Chiropractor | 750 1st. St. S. Ste 103, Waite Park, MN 56387 | 2008-01-25 |
| 1093849622 | Thomas Edward Monsen | Social Worker | 504 Industrial Boulevard, Waconia, MN 56387 | 2007-03-15 |
| Find all providers in zip 56387 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020327 | Thomas Chatfield | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-10-11 |
| 1568079325 | Earnest Gardner | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-09-25 |
| 1477168631 | Morgan Payne | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-09-14 |
| 1619594264 | Brittany Hilden | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-06-30 |
| 1053934547 | Barry Wolff | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-05-19 |
| 1104457324 | Colia Bynum | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-01-27 |
| 1881233179 | Courtney Groettum | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2020-01-03 |
| 1598303729 | Emily Larsen | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2019-12-18 |
| 1457908444 | Sophia Woods | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2019-08-23 |
| 1699321653 | Vanessa Bodin | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2019-08-15 |
| Find all providers in WAITE PARK | ||||
| City | WAITE PARK |
| Zip Code | 56387 |
Please comment or provide details below to improve the information on TAMALA HERRON.
| 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.