Individual provider Active NPI

Judith Ann Tauer, RNC,ANP

  • Adult Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1144439134
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R067966-4 Issued in MN
Practice address
2356 University Ave W
Suite 210
Saint Paul, MN 55114-1853
Phone
(651) 556-0887
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R067966-4 MN Primary

Addresses

Primary practice location

2356 University Ave W
Suite 210
Saint Paul, MN 55114-1853

Mailing address

2356 University Ave W
Suite 210
Saint Paul, MN 55114-1853
Phone (651) 556-0887

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R067966-4MNMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1144439134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 UNIVERSITY AVE W",
            "address_2": "SUITE 210",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141853",
            "telephone_number": "651-556-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 UNIVERSITY AVE W",
            "address_2": "SUITE 210",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141853",
            "telephone_number": "651-556-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUER",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RNC,ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R067966-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.