Active NPI
Tarna L Squires, APRN,CNP
- Family Nurse Practitioner
- Baxter, MN
National Provider Identifier
1124793369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8563
- Practice address
- 14241 Grand Oaks Dr
Baxter, MN 56425-8749 - Phone
- (218) 316-3101
- NPI assigned
- Aug 10, 2021
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 8563 | MN | |
| Family Nurse Practitioner | 363LF0000X | 8563 | MN | Primary |
Addresses
Primary practice location
14241 Grand Oaks Dr
Baxter, MN 56425-8749
Mailing address
14241 Grand Oaks Dr
Baxter, MN 56425-8749
Phone (218) 316-3101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211011000987 | MN | Practitioner - Nurse Practitioner | 4880092550 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8563 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Behavioral Health Hospital-Baxter | Current | Accepting new patients |
Locations
14241 Grand Oaks Dr
Baxter, MN 56425
Phone (218) 316-3101
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1124793369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14241 GRAND OAKS DR",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258749",
"telephone_number": "218-316-3101",
"fax_number": "218-829-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14241 GRAND OAKS DR",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258749",
"telephone_number": "218-316-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIRES",
"first_name": "TARNA",
"middle_name": "L",
"credential": "APRN,CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MN",
"license": "8563",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "8563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.