TIFFANY FLATEN


Address: 9201 Quaday Ave Ne Ste 205, Otsego, MN 55330-6604
Phone: 7637036962

TIFFANY FLATEN (NPI# 1871909242) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 1871909242 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4655 Lannon Ave Ne, Saint Michael, MN 553764613 7633004816

Office Location

Street Address 9201 QUADAY AVE NE STE 205
City OTSEGO
State MN
Zip Code 55330-6604

Providers in the same location

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

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1649839986 Jodi Marie Pikula Massage Therapist 710 Dodge Ave, Suite C, Elk River, MN 55330 2019-06-11
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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
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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City OTSEGO
Zip Code 55330

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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