MRS. TARA E ANDERSON (NPI# 1871613521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871613521 |
| Entity Type | Individual |
| Full Name | MRS. TARA E ANDERSON |
| Credential | ATC |
| Practice Address |
675 E Nicollet Blvd Suite #135 Burnsville MN 55337-6700 |
| Mailing Address |
4705 17th Ave S Minneapolis MN 55407-3613 |
| Practice Telephone | 9528922650 |
| Practice Fax Number | 9528922654 |
| Mailing Telephone | 6129200302 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1225553944 | Tara Anderson | Respiratory Therapist, Registered | 7611 Parkridge Way, Savage, MN 55378-1747 | 2017-08-03 |
| 1649636788 | Tara Anderson | Acupuncturist | 1500 Graham Hill Rd Ste A, Santa Cruz, CA 95060-1349 | 2016-01-05 |
| 1144565169 | Tara Jo Anderson | Acupuncturist | 3118 Kimball Ave, Waterloo, IA 50702-5253 | 2012-12-03 |
| 1770736993 | Tara Letitia Anderson | Counselor | 3312 Surf Avenue, Jbfcs, Brooklyn, NY 11224 | 2008-10-31 |
| 1811165780 | Tara Anderson | Specialist | 7846 Golf Point Dr Se, Caledonia, MI 49316-7779 | 2008-02-13 |
| 1487878807 | Tara Ashlock Anderson | Pharmacist | 151 Mcarthur Avenue, Celina, TN 38551 | 2007-04-13 |
| 1831710599 | Tara Ann Anderson | Behavior Technician | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-05-04 |
| 1295355378 | Tara Anderson | Student in an Organized Health Care Education/Training Program | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-20 |
| 1215499413 | Tara L Anderson | Counselor | 130 Southern School Rd, Somerset, KY 42501-3223 | 2019-04-05 |
| Street Address |
675 E NICOLLET BLVD SUITE #135 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487607495 | Ingrid Abols-mantyh | Psychiatry & Neurology | 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6749 | 2006-05-19 |
| 1255715181 | Minnesota Head and Neck Pain Clinic, Pa | Specialist | 675 E Nicollet Blvd, Suite 255, Burnsville, MN 55337-6741 | 2015-07-09 |
| 1053727321 | Shannon Marie Kelly | Physical Therapist | 675 E Nicollet Blvd, Oak Ridge East #135, Burnsville, MN 55337-6741 | 2014-07-08 |
| 1326388349 | Fairview Health Services | Clinic/Center | 675 E Nicollet Blvd, Suite 250, Burnsville, MN 55337-6741 | 2013-02-28 |
| 1881941359 | Amira Nihlawi | Physician Assistant | 675 E Nicollet Blvd, Ste 100, Burnsville, MN 55337-6741 | 2012-08-14 |
| 1588979082 | Elizabeth Catherine Niemuth | Physical Therapist | 675 E Nicollet Blvd, 135, Burnsville, MN 55337-6741 | 2010-08-10 |
| 1538308226 | Ninette Wong | Physical Therapist | 675 E Nicollet Blvd, Suite 135, Burnsville, MN 55337-6741 | 2009-02-19 |
| 1356518765 | Mary Beth Oven | Registered Nurse | 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6749 | 2008-05-14 |
| 1407027824 | Patricia Welshinger | Physical Therapy Assistant | 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6749 | 2008-03-13 |
| 1710033725 | Minnesota Allergy and Asthma Consultants, Pllc | Allergy & Immunology | 675 E Nicollet Blvd, Suite #250, Burnsville, MN 55337-6700 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794652 | Alaina Brown | Specialist/Technologist | 12 Oak Shore Dr, Burnsville, MN 55306-5506 | 2019-01-17 |
| 1285135764 | Casey Lewandoski | Specialist/Technologist | 14050 Fairview Dr Fl 1, Burnsville, MN 55337-5713 | 2018-02-21 |
| 1770014581 | Marguerite Vihovde | Specialist/Technologist | 15625 Alpine Cir, Burnsville, MN 55306-5483 | 2017-03-23 |
| 1629355854 | Rebecca Benson | Specialist/Technologist | 1639 Riverwood Drive, Burnsville, MN 55337-7533 | 2011-11-16 |
| 1457593451 | Marissa M. Oachs | Specialist/Technologist | 2508 E 121st St, Burnsville, MN 55337-3010 | 2009-04-06 |
| 1770605941 | Jamie Marie Gladfelter | Specialist/Technologist | 675 E Nicollet Blvd Ste 135, Burnsville, MN 55337-6770 | 2007-04-06 |
| 1326573569 | Summer O'connor | Specialist/Technologist | 11751 W River Hills Dr, #318, Burnsville, MN 55337-7242 | 2017-04-25 |
| 1841655305 | Jeffrey Fort | Specialist/Technologist | 14101 Fairview Dr, Suit3 300, Burnsville, MN 55337-4590 | 2015-12-28 |
| 1043600786 | Cory Overmyer | Specialist/Technologist | 617 W Main St, Burnsville, NC 28714-2737 | 2015-02-03 |
| 1346643830 | Jeannette Marie Breimhorst | Specialist/Technologist | 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6772 | 2014-09-29 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.