AMY TANNAHILL


Address: 11455 Viking Dr, Ste 300, Eden Prairie, MN 55344-7251
Phone: 9529932498

AMY TANNAHILL (NPI# 1295712289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295712289
Entity Type Individual
Full Name AMY TANNAHILL
Practice Address 11455 Viking Dr
Ste 300
Eden Prairie
MN 55344-7251
Mailing Address 6465 Wayzata Blvd
Ste 315
Minneapolis
MN 55426-1728
Practice Telephone 9529932498
Enumeration Date 2005-12-29
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R1346459 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11455 VIKING DR
STE 300
City EDEN PRAIRIE
State MN
Zip Code 55344-7251

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275510877 Thomas R Scott Pediatrics 11455 Viking Dr, Ste 300, Park Nicollet Clinic - Alexander Center, Eden Prairie, MN 55344-7251 2005-12-27
1871721514 Tina Fausett Speech-Language Pathologist 11455 Viking Dr, Suite 300, Eden Prairie, MN 55344-7251 2009-07-01
1821105172 Amy Leann Horning Social Worker 11455 Viking Dr, Ste 300, Eden Prairie, MN 55344-7251 2006-08-24
1093792038 Stephen Olsen Psychologist 11455 Viking Dr, Suite 300, Eden Prairie, MN 55344-7251 2005-12-30
1265419485 Stephen A Bonfilio Psychologist 11455 Viking Dr, Ste 300, Eden Prairie, MN 55344-7251 2005-12-29
1437136991 Daniel P Barron Psychologist 11455 Viking Dr, Ste 300, Eden Prairie, MN 55344-7251 2005-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366000572 Hekima Care Inc. Case Management 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 2019-06-03
1528537768 Smile Eden Prairie Dentist 6600 City W. Pkwy #315, Eden Prairie, MN 55344 2018-11-16
1215439781 Angelo Scherer Counselor 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 2018-03-01
1497272678 Matthew Lynn Occupational Therapist 431 Prairie Center Drive, Eden Prairie, MN 55344 2017-08-28
1184178956 Eric R Barrett Audiologist Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 2016-08-10
1609218676 Nations Care Link Nurse Practitioner 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 2013-07-19
1497020390 Alixa Rx LLC Pharmacy 10132 West 76th St, Eden Prairie, MN 55344 2012-03-12
1831467331 Eagle Ridge Academy Local Education Agency (LEA) 7255 Flying Cloud Drive, Eden Prairie, MN 55344 2011-12-12
1205154739 Eden Prairie School District 272 Local Education Agency (LEA) 8100 School Road, Eden Prairie, MN 55344 2010-05-07
1992030613 Spinal Health Chiropractor 12100 Singletree Ln #129, Eden Prairie, MN 55344 2009-10-14
Find all providers in zip 55344

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740799246 Maya Bastian Nurse Practitioner 12220 Travois Rd, Eden Prairie, MN 55347-4241 2017-09-27
1679555171 Nancy Fox Carlson Nurse Practitioner 12200 Middle Set Rd, 100, Eden Prairie, MN 55344-5415 2005-11-18
1497277438 Katie Ann Eagle Nurse Practitioner 6452 City West Pkwy, Eden Prairie, MN 55344-3245 2017-07-12
1417494998 Amanda Lee Johnson Fleming Nurse Practitioner 11010 Prairie Lakes Dr, #350, Eden Prairie, MN 55344-3884 2017-01-23
1902182496 Amanda Beth Kack Flannery Nurse Practitioner 12200 Middle Set Rd Ste 100, Eden Prairie, MN 55344-5420 2011-10-27
1447582028 Pamela Shapiro Kaplan Nurse Practitioner 8455 Flying Cloud Dr, Suite 205, Eden Prairie, MN 55344-3974 2010-02-05
1215155643 Patricia Leah Solinger Nurse Practitioner 800 Prairie Center Dr, Ste 120, Eden Prairie, MN 55344 2007-04-23
1821173956 Lisa Pivotto Kroening Nurse Practitioner 18315 Cascade Dr, Ste 170, Eden Prairie, MN 55347-1180 2006-10-26
1215910492 Marilou Pederson Nurse Practitioner 12200 Middle Set Rd, 100, Eden Prairie, MN 55344-5415 2005-11-22
1336121847 Susan Kay Fix Nurse Practitioner 12200 Middle Set Rd, 100, Eden Prairie, MN 55344-5415 2005-11-18
Find all providers in EDEN PRAIRIE

Competitor

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City EDEN PRAIRIE
Zip Code 55344

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Dataset Information

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.

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