Active NPI
Perkaloah Amanda Queeglay-Tarpeh, RN
- Psychiatric/Mental Health Nurse Practitioner
- Elk River, MN
National Provider Identifier
1043551666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2024095531
- Practice address
- 19485 Boston St NW
Elk River, MN 55330-4121 - Phone
- (612) 695-4971
- Fax
- (763) 544-1816
- NPI assigned
- Mar 6, 2013
- Last updated
- Mar 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2024095531 | MN | Primary |
| Registered Nurse | 163W00000X | R 148120-4 | MN |
Addresses
Primary practice location
19485 Boston St NW
Elk River, MN 55330-4121
Mailing address
19485 Boston St NW
Elk River, MN 55330-4121
Phone (612) 387-6629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 148120-4 | MN | MD | Registered Nurse |
| 2024095531 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accountable Home Care Services LLC | Current | Accepting new patients | |
| Lama Home LLC | Current | Accepting new patients | |
| Aaliyasha Loving Home LLC. | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Accountable Home Care Services
- Home Health Agency
- Elk River, MN
- NPI 1114404829
-
- Home Health Agency
- Buckeye, AZ
- NPI 1740015387
-
- Pediatric Skilled Nursing Facility
- Elk River, MN
- NPI 1194139261
-
- Home Health Agency
- Elk River, MN
- NPI 1992114219
-
dba Our Family Home
- Home Health Agency
- Brooklyn Center, MN
- NPI 1992285233
-
- Home Health Agency
- Crystal, MN
- NPI 1679189781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1043551666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19485 BOSTON ST NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553304121",
"telephone_number": "612-387-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19485 BOSTON ST NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553304121",
"telephone_number": "612-695-4971",
"fax_number": "763-544-1816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEEGLAY-TARPEH",
"first_name": "PERKALOAH",
"middle_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "2024095531",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 148120-4",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk River, MN
- Power Within Chiropractic of Elk River
- Jelsie Rae Prater
- Lisa Kay Prater
- Chakiira Delania Price
- Rachel Puffe, PHARMD
- William H Rabe, MD
- Michael Harold Rafferty, D.C.
- Kelly Jean Rawlings
- Rebrovich and Whalen Chiropractic, LTD. (Ideal Health, A Sports & Family Chiropractic Clinic)
- Jeremy Frank Rebrovich, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.