TAMBRA R DAHLHEIMER


Address: 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454
Phone: 6123658100

TAMBRA R DAHLHEIMER (NPI# 1689644908) 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) 1689644908
Entity Type Individual
Full Name TAMBRA R DAHLHEIMER
Credential CPNP
Practice Address 2450 Riverside Ave Se
East Building Journey Clinic 9e
Minneapolis
MN 55454
Mailing Address 420 Delaware St Se
Mayo 484
Minneapolis
MN 55455
Practice Telephone 6123658100
Practice Fax Number 6123658101
Mailing Telephone 6126262778
Mailing Fax Number 6126262815
Enumeration Date 2006-01-26
Last Update Date 2012-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R1005075 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 611816000 05

Office Location

Street Address 2450 RIVERSIDE AVE SE
EAST BUILDING JOURNEY CLINIC 9E
City MINNEAPOLIS
State MN
Zip Code 55454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669890745 Ashish Gupta Pediatrics 2450 Riverside Ave Se, Minneapolis, MN 55454 2014-04-04
1538369871 Emily Greengard Pediatrics 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 2007-07-24
1396861217 Jodell E Dahl Nurse Practitioner 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454-0341 2007-03-22
1407903156 Weston Peter Miller Iv Pediatrics 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 2007-01-04
1881771947 Margaret L Macmillan Pediatrics 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 2006-11-01
1720176308 Peter I Karachunski Psychiatry & Neurology 2450 Riverside Ave Se, Minneapolis, MN 55455-5545 2006-10-10
1366534273 Jonathan B Jensen Psychiatry & Neurology 2450 Riverside Ave Se, 2a West, Minneapolis, MN 55454-1450 2006-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
Find all providers in zip 55454

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
1720407497 Halley Gail Sage Nurse Practitioner 2525 Chicago Ave S., Minneapolis, MN 55404 2014-04-10
1457509523 Rebecca Olson Nurse Practitioner 2525 Chicago Avenue, Minneapolis, MN 55404-4518 2008-09-03
1912108341 Nancy Novakoske Hoogenhous Nurse Practitioner 200 Oak St Se, Ste 160, Minneapolis, MN 55455-2009 2007-05-31
1902988421 Alexis Maciej Nurse Practitioner 424 Haravard St Se, Suite M100 Masonic Cancet Center, University of Minnesota Physicians, Minneapolis, MN 55455 2006-10-20
1669568176 Jill Lunsford Lee Nurse Practitioner 420 Delaware St., Mmc 484, Minneapolis, MN 55455 2006-10-04
1477561991 Mary Jordan Nurse Practitioner 2001 Bloomington Avenue S, Community-university Health Care Center, Minneapolis, MN 55404-3074 2006-08-03
1457327686 Judith A Kralewski Nurse Practitioner 250 S 4th St, Room 510, Minneapolis, MN 55415-1335 2006-02-27
1881207462 Brianna Marie Gloe Nurse Practitioner 2530 Chicago Ave Ste 550, Minneapolis, MN 55404-4293 2020-08-25
1447861067 Charlotte Minnema Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-08-17
1760027007 Jennifer Bloom Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2019-11-11
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55454

Improve Information

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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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