Tina Perry

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0404295 Issued in MN

Practice address

3100 Kennard St Ste 100
Maplewood, MN 55109-5466

Phone

(651) 225-5420

NPI assigned

Mar 30, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1073453205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 SHARONS WAY",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KENNARD ST STE 100",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095466",
            "telephone_number": "651-225-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L0404295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Perez-Pria
• Kimberly Ann Perfetto, M.A.
• Amanda Jo Perkins, PHARM D.
• Carron Perry, D.C.
• Erica A Perry, CRNA
• Peter H Mielke DDS Pediatric Dentistry
• Peterson Chiropractic Center
• Andrew Frederick Peterson
• Bruce Allen Peterson, DC
• Dana Alexandra Peterson, APRN

• Licensed Practical Nurse in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.