TAMARA LOIS RAKKE (NPI# 1932655420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932655420 |
| Entity Type | Individual |
| Full Name | TAMARA LOIS RAKKE |
| Credential | AGPCNP |
| Practice Address |
270 Main St N Ste 300 Stillwater MN 55082 |
| Mailing Address |
270 Main St N Ste 300 Stillwater MN 55082-6788 |
| Practice Telephone | 6513421039 |
| Mailing Telephone | 6513421039 |
| Mailing Fax Number | 6513421428 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CNP4677 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP60720346 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1027 Washington Ave, Detroit Lakes, MN 565013409 | 2188475611 | |
| 820 N Chelan Ave, Wenatchee, WA 988012028 | 5096637811 |
| Street Address |
270 MAIN ST N STE 300 |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235115791 | John Thomas Murphy | Family Medicine | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2005-12-16 |
| 1194336412 | Anna Kaci Renner | Physician Assistant | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-08-11 |
| 1851915086 | Jennifer Evelyn Paine | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-06-03 |
| 1770105033 | Shannon Lynn Mcalpine | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-05-09 |
| 1750917985 | Marisa L Felker | Family Medicine | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-03-19 |
| 1407481591 | Marsha M Nelson | Psychiatry & Neurology | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-03-09 |
| 1093361875 | Manisha Dharmesh Shah | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2019-08-16 |
| 1184182420 | Allison Fiedler | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2019-03-06 |
| 1952865875 | Brian Traeger | Physician Assistant | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2019-01-24 |
| 1598251308 | Heather Horgen | Physician Assistant | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2018-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871710293 | Elizabeth L. Babler-schrader | Nurse Practitioner | 1321 W 7th Ave, Stillwater, OK 74074-4360 | 2007-04-19 |
| 1801202270 | Stephanie Marie Goese | Nurse Practitioner | 270 Main St N, Stillwater, MN 55082-6785 | 2014-07-07 |
| 1851647812 | Cheryl Vukmanich | Nurse Practitioner | 270 Main St N, Suite 300, Stillwater, MN 55082-6785 | 2012-07-27 |
| 1366720260 | Katie Lynn Heins | Nurse Practitioner | 270 Main St N, Suite 300, Stillwater, MN 55082-6788 | 2011-07-26 |
| 1073559340 | Katherine A Niemann | Nurse Practitioner | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731821 | Thomas Bieniek | Nurse Practitioner | 1900 Centracare Cir Ste 1600, Saint Cloud, MN 56303-5000 | 2019-07-08 |
| 1649830225 | Kimberly Dawn Hanson | Nurse Practitioner | 1884 Randolph Ave, Saint Paul, MN 55105-1747 | 2019-06-17 |
| 1942762828 | Jodi Lynn Martin | Nurse Practitioner | 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 | 2019-04-01 |
| 1831661123 | Sheryl Jo Rudolf | Nurse Practitioner | 705 Pleasant Avenue, Park Rapids, MN 56470-1440 | 2018-12-26 |
| 1043730310 | Alexis Oluwasheun Bakare | Nurse Practitioner | 1101 Paul Pkwy Ne Apt 215, Blaine, MN 55434-3977 | 2017-06-27 |
| 1528500360 | Judy Pauletich | Nurse Practitioner | 1255 Mayhill Rd N, Maplewood, MN 55119-7158 | 2016-11-10 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1932569035 | David Makonde Ogato | Nurse Practitioner | 5325 W 74th St, Edina, MN 55439-2231 | 2016-03-02 |
| 1164896379 | Brooke Johnson | Nurse Practitioner | 12700 Whitewater Dr, Minnetonka, MN 55343-9438 | 2015-11-25 |
| 1962879916 | Carrie Rose Lucio | Nurse Practitioner | 807 Albert St N, Saint Paul, MN 55104-1302 | 2015-08-25 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 55082 |
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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.