TIFFANY FLATEN (NPI# 1871909242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871909242 |
Entity Type | Individual |
Full Name | TIFFANY FLATEN |
Credential | M.S., LN, CNS |
Practice Address |
9201 Quaday Ave Ne Ste 205 Otsego MN 55330-6604 |
Mailing Address |
4655 Lannon Ave Ne Saint Michael MN 55376-4613 |
Practice Telephone | 7637036962 |
Practice Fax Number | 6512229727 |
Mailing Telephone | 7633004816 |
Enumeration Date | 2014-07-07 |
Last Update Date | 2019-09-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1871909242 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
4655 Lannon Ave Ne, Saint Michael, MN 553764613 | 7633004816 |
Street Address |
9201 QUADAY AVE NE STE 205 |
City | OTSEGO |
State | MN |
Zip Code | 55330-6604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790033371 | Jennifer Marie Doeden | Marriage & Family Therapist | 9201 Quaday Ave Ne Ste 205, Otsego, MN 55330-6604 | 2012-08-29 |
1013376961 | Parasol Wellness Collaborative | Clinic/Center | 9201 Quaday Ave Ne Ste 205, Otsego, MN 55330-6604 | 2016-02-21 |
1437558814 | Leah Corder | Marriage & Family Therapist | 9201 Quaday Ave Ne Ste 205, Otsego, MN 55330 | 2014-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
Find all providers in zip 55330 |
Taxonomy Code | 133NN1002X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
Specialization | Nutrition, Education |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275083354 | Rebecka Hagen | Nutritionist | 20685 Lynn Dr, Prior Lake, MN 55372-9758 | 2016-10-12 |
1245780931 | Joy Johnson | Nutritionist | 7863 Jorgensen Ave S, Cottage Grove, MN 55016-5240 | 2016-10-06 |
1912388067 | Marcie Michelle Vaske | Nutritionist | 2392 Harvest Way, Chanhassen, MN 55317-8444 | 2015-06-15 |
1801211586 | Jillyne Bobrowsky | Nutritionist | 8042 Victoria Drive, Victoria, MN 55386 | 2014-03-04 |
1689953143 | Patrick A Tschida | Nutritionist | 1573 Arundel St, Suite 204, Saint Paul, MN 55117-3596 | 2011-08-15 |
1124239843 | Dorie Marian Buck | Nutritionist | 720 Spruce St Ne, Hutchinson, MN 55350-1260 | 2007-05-24 |
1154497634 | Michelle R. Didio | Nutritionist | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2006-11-28 |
1538403365 | Youth Determined To Succeed | Nutritionist | 3333 N 4th St, Minneapolis, MN 55412-2615 | 2012-11-16 |
1609173319 | Pamela Wales | Nutritionist | 1501 Broadway St, Alexandria, MN 56308-2537 | 2011-02-15 |
1265757546 | Maureen Mary Nagle | Nutritionist | 8200 Humboldt Ave S, Suite 301, Bloomington, MN 55431-1433 | 2010-03-30 |
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.