Active NPI
Taylor Adams
- Physician Assistant
- Arden Hills, MN
National Provider Identifier
1053109249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2 Pine Tree Dr
Arden Hills, MN 55112-3754 - Phone
- (651) 645-8000
- NPI assigned
- Apr 28, 2025
- Last updated
- Apr 28, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2 Pine Tree Dr
Arden Hills, MN 55112-3754
Mailing address
N566 County Road Em
Watertown, WI 53098-4528
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1053109249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N566 COUNTY ROAD EM",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530984528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PINE TREE DR",
"city": "ARDEN HILLS",
"state": "MN",
"postal_code": "551123754",
"telephone_number": "651-645-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arden Hills, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.