SARAH TAGUE (NPI# 1861909012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861909012 |
| Entity Type | Individual |
| Full Name | SARAH TAGUE |
| Other Name | SARAH PHILLIPS |
| Credential | CNP |
| Practice Address |
111 Hundertmark Rd Ste 205n Chaska MN 55318-1586 |
| Mailing Address |
5212 Park Ave Minneapolis MN 55417-1718 |
| Practice Telephone | 9529031350 |
| Mailing Telephone | 5633792103 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
2200840 | MN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5659 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 HUNDERTMARK RD STE 205N |
| City | CHASKA |
| State | MN |
| Zip Code | 55318-1586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831280635 | Jacob Kerbeshian | Psychiatry & Neurology | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2006-09-27 |
| 1609473990 | Nathaniel Martin Shields | Counselor | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2020-10-08 |
| 1982132205 | Nicole Melson | Counselor | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2017-05-31 |
| 1669925228 | Stephen Dahl | Social Worker | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2016-08-01 |
| 1346622248 | Megan Boyington | Social Worker | 111 Hundertmark Rd Ste 205n, 212 Medical Building, Chaska, MN 55318-1586 | 2015-06-26 |
| 1518354315 | Jeanette Nicole Matthews | Counselor | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2015-04-20 |
| 1649678848 | Amy Louise-vannurden Swingle | Psychologist | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2014-12-21 |
| 1619152097 | Richard Todd Peterson | Psychiatry & Neurology | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2008-01-04 |
| 1508072604 | Kelly Ann Senesac | Marriage & Family Therapist | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
| 1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
| 1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
| 1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
| 1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
| 1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
| 1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
| 1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
| 1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
| 1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
| Find all providers in zip 55318 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676871 | Dawn Mae Hill | Nurse Practitioner | 1435 White Oak Dr, Chaska, MN 55318-2667 | 2020-07-22 |
| 1528682374 | Maura Collins Ross | Nurse Practitioner | 1045 Stoughton Ave, Chaska, MN 55318-2149 | 2020-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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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.