Rachael Perkins

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4140 Richard Ave Ste 200
Hermantown, MN 55811-3309

Phone

(218) 520-3412

Fax

(218) 520-3414

NPI assigned

May 25, 2021

Last updated

May 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1154996866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 RICHARD AVE STE 200",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113309",
            "telephone_number": "218-520-3412",
            "fax_number": "218-520-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 RICHARD AVE STE 200",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113309",
            "telephone_number": "218-520-3412",
            "fax_number": "218-520-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 30th Ave S",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565605149",
            "country_code": "US",
            "telephone_number": "218-287-4338",
            "fax_number": "218-287-5928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "RACHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Dawn Pantlin
• Joseph Scott Parpala, D.C.
• PDG, P.a. (Park Dental Hermantown)
• Miranda Lea Peaney
• Michael Perell, PHARMD
• Joslyn P Peterson
• Tommi Marie Peterson
• Jennifer Piasecki
• Pillars of Hermantown LLC (The Pillars of Hermantown)
• Kelly A Plote, DDS

• Behavior Technician in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.