TAMARA A JOHNSON (NPI# 1023206935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023206935 |
| Entity Type | Individual |
| Full Name | TAMARA A JOHNSON |
| Other Name | TAMARA A SKALSH |
| Credential | PA-C |
| Practice Address |
6490 Excelsior Blvd Ste W200 St Louis Park MN 55426-4705 |
| Mailing Address |
6465 Wayzata Blvd Ste 210 St Louis Park MN 55426-1728 |
| Practice Telephone | 9529933180 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1045 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126789 | Tamara Natalee Johnson | Case Manager/Care Coordinator | 5305 Greenwood Ave Ste 204, West Palm Beach, FL 33407-2449 | 2020-02-19 |
| 1164069951 | Tamara Lynn Johnson | Dietitian, Registered | 525 Madrona Ave, Port Orford, OR 97465-9552 | 2019-11-29 |
| 1003367764 | Tamara Johnson | Licensed Practical Nurse | 9038 170th St Apt 3g, Jamaica, NY 11432-5352 | 2016-10-18 |
| 1376982694 | Tamara Lynn Johnson | Specialist | 5728 Stage Rd Ste 6, Bartlett, TN 38134-4568 | 2013-06-19 |
| 1811230485 | Tamara W Johnson | Specialist | 5942 Brook Rd, Richmond, VA 23227-2258 | 2013-04-02 |
| 1750675831 | Tamara H Johnson | Pharmacist | 8007 W Florissant Ave, T-2050, Jennings, MO 63136-1400 | 2011-06-06 |
| 1619271533 | Tamara Antionette Johnson | Psychologist | 1936 Sheridan Rd, Multicultural Center, Northwestern University, Evanston, IL 60208-0849 | 2011-01-06 |
| 1194979666 | Tamara Hutto Johnson | Occupational Therapist | 2326 Morgan Avenue Sw, Decatur Health and Rehab, Decatur, AL 35601-6244 | 2008-11-11 |
| 1770737298 | Tamara A. Johnson | Speech-Language Pathologist | 1101 Middle Stella Ireland Rd, Binghamton, NY 13905-6203 | 2008-11-11 |
| 1609028133 | Tamara Bilbo Johnson | Behavioral Analyst | 352 Old Parksville Trl Se, Cleveland, TN 37323-8706 | 2008-10-15 |
| Street Address |
6490 EXCELSIOR BLVD STE W200 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275516817 | Allyson M Hayward | Social Worker | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2005-11-29 |
| 1043451040 | Kristen Cecile Kading | Pharmacist | 6490 Excelsior Blvd, St Louis Park, MN 55426-4705 | 2009-03-20 |
| 1275779902 | Andrea Arvold | Dietitian, Registered | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2008-12-31 |
| 1609040856 | Urology Associates, Ltd | Urology | 6490 Excelsior Blvd, Suite E202, St Louis Park, MN 55426-4705 | 2008-04-18 |
| 1154591683 | Sharon M Johnson | Dietitian, Registered | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2008-03-12 |
| 1699965319 | Anna Pasternak Levine | Advanced Practice Midwife | 6490 Excelsior Blvd, Ste E111, St Louis Park, MN 55426-4705 | 2007-07-30 |
| 1578627717 | Arlene R Lutenegger | Psychologist | 6490 Excelsior Blvd, Suite W505, St Louis Park, MN 55426 | 2006-12-21 |
| 1710040209 | Burrel H Deaton | Dermatology | 6490 Excelsior Blvd, Suite W406, St Louis Park, MN 55426 | 2006-12-18 |
| 1689741670 | Susan Aleta Cleaveland | Physical Therapist | 6490 Excelsior Blvd, St Louis Park, MN 55426-4705 | 2006-11-29 |
| 1891866901 | Lori E Strand | Occupational Therapist | 6490 Excelsior Blvd, Ste E400, St Louis Park, MN 55426-4705 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1710298336 | Scott Marshall Schmaedeke | Physician Assistant | 1155 Ford Rd Ste B, St Louis Park, MN 55426-1115 | 2010-06-29 |
| 1821075425 | Courtney L Scott | Physician Assistant | 6490 Excelsior Blvd # E500, Park Nicollet Clinic - Meadowbrook, St Louis Park, MN 55426 | 2005-12-27 |
| 1619504768 | Devanie Tucker | Physician Assistant | 3808 Grand Way, St Louis Park, MN 55416-4788 | 2020-03-26 |
| 1083257612 | Kaylie Marie Laplante | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-10-27 |
| 1164994133 | Erik Junso | Physician Assistant | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2019-01-01 |
| 1144790866 | Ashley Marie Overby | Physician Assistant | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2018-11-26 |
| 1043790553 | Jack William Bergman | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2018-08-15 |
| 1164922910 | Lisa Mary Huset | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2018-02-19 |
| 1114435773 | Adam James Uithoven | Physician Assistant | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-01-17 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
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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.