Active NPI
Diana Maria Loaiza Tangarife, MA
- Marriage & Family Therapist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2892
- Practice address
- 5005 1/2 34TH Ave S Unit 3
Minneapolis, MN 55417-1542 - Phone
- (612) 548-1543
- NPI assigned
- Nov 28, 2015
- Last updated
- May 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2892 | MN | Primary |
Addresses
Primary practice location
5005 1/2 34TH Ave S Unit 3
Minneapolis, MN 55417-1542
Mailing address
2101 Edinbrook CT
Brooklyn Park, MN 55443-3717
Phone (612) 770-1507
Other practice location 1
701 Decatur Ave N
Suite 109
Golden Valley, MN 55427-4367
Phone (763) 746-2408
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sana Wellness LLC | Current | Accepting new patients |
Locations
5005 34th Ave S
Unit 3
Minneapolis, MN 55417
Phone (612) 548-1543
1711 County Road B W
Ste 115S
Roseville, MN 55113
Phone (651) 249-5723
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minneapolis, MN
- NPI 1851039945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1144694381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 EDINBROOK CT",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554433717",
"telephone_number": "612-770-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 1/2 34TH AVE S UNIT 3",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554171542",
"telephone_number": "612-548-1543"
}
],
"practiceLocations": [
{
"address_1": "701 Decatur Ave N",
"address_2": "Suite 109",
"address_purpose": "LOCATION",
"city": "Golden Valley",
"state": "MN",
"postal_code": "554274367",
"country_code": "US",
"telephone_number": "763-746-2408",
"fax_number": "763-746-2401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOAIZA TANGARIFE",
"first_name": "DIANA",
"middle_name": "MARIA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-28",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.