Community Nurse

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

COMMUNITY NURSE

Practice address

18072 Vance Circle
Elk River, MN 55330

Phone

(612) 387-6629

Fax

(763) 267-7245

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

Perkaloah Amanda Queeglay-Tarpeh

Title

Registered Nurse

Phone

(612) 387-6629

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1194139261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18072 VANCE CIR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304712",
            "telephone_number": "612-387-6629",
            "fax_number": "763-267-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18072 VANCE CIRCLE",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "55330",
            "telephone_number": "612-387-6629",
            "fax_number": "763-267-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NURSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "QUEEGLAY-TARPEH",
        "authorized_official_first_name": "PERKALOAH",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "612-387-6629"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherina Jean Cohrs
• Fabio Cole
• Jessica Lee Collins
• Collyard Chiropractic P a
• Carrie Lynn Collyard-Glinsek
• Community Nurse
• Jennifer Lynn Conard
• Nancy J Craft, MS, LPCC
• Jared William Creighton
• Austyn Lee Cross, PHYSICIAN ASSISTANT

• Pediatric Skilled Nursing Facility in Elk River, MN
• Providers in Elk River, MN by specialty
• Pediatric Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.