Active NPI
Tara Watkins, DC, ATC
- Chiropractor
- Faribault, MN
National Provider Identifier
1093194144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6576
- Practice address
- 804 Westwood Dr
Faribault, MN 55021-6652 - Phone
- (507) 330-6080
- NPI assigned
- May 22, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6576 | MN | Primary |
Addresses
Primary practice location
804 Westwood Dr
Faribault, MN 55021-6652
Mailing address
3440 Federal Dr
Ste 120
Eagan, MN 55122-3516
Phone (651) 405-3990
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1043 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Merrimack, NH
- NPI 1336874072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1093194144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 FEDERAL DR",
"address_2": "STE 120",
"city": "EAGAN",
"state": "MN",
"postal_code": "551223516",
"telephone_number": "651-405-3990",
"fax_number": "651-403-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 WESTWOOD DR",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550216652",
"telephone_number": "507-330-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "TARA",
"credential": "DC, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-22",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Faribault, MN
- Wal Mart Stores, Inc. (Vision Center 30-1657)
- Walgreen Co (Walgreens #01951)
- Walmart Inc. (Walmart Pharmacy 10-1657)
- Brian Igoni Wariboko, M.D
- Susan M Warring, LICSW
- Sadie Elizabeth Watts, MSW, LICSW
- Angela Wegner, PTA, ATC
- Kelsey Rae Weinandt, M.S, CCC-SLP
- Christine M Werner, NP-C
- Megan Adrienne Westling, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.