Individual provider Active NPI

Barbara Ann Tjepkes, WHNP

  • Nurse Practitioner
  • Brooklyn Center, MN
National Provider Identifier
1235101411
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1189221 Issued in MN
Practice address
6845 Lee Ave N
Mail Stop 31400a
Brooklyn Center, MN 55429-1717
Phone
(763) 569-0300
Fax
(763) 569-0330
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1189221 MN Primary

Addresses

Primary practice location

6845 Lee Ave N
Mail Stop 31400a
Brooklyn Center, MN 55429-1717

Mailing address

6845 Lee Ave N
Brooklyn Center, MN 55429-1717
Phone (763) 503-4400

Other identifiers 1

IdentifierTypeStateIssuer
383517100MedicaidMN

Other names 1

  • Barb Tjepkes Other name

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
1189221MNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1235101411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 LEE AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291717",
            "telephone_number": "763-503-4400",
            "fax_number": "763-569-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 LEE AVE N",
            "address_2": "MAIL STOP 31400A",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291717",
            "telephone_number": "763-569-0300",
            "fax_number": "763-569-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJEPKES",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "1189221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383517100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARB",
            "last_name": "TJEPKES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.