Individual provider Active NPI

Taran John Barrett, DC

  • Chiropractor
  • St Louis Park, MN
National Provider Identifier
1285205351
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6804 Issued in MN
Practice address
4201 Excelsior Blvd
St Louis Park, MN 55416-4728
Phone
(952) 933-8900
Fax
(952) 945-9536
NPI assigned
Jul 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6804 MN Primary

Addresses

Primary practice location

4201 Excelsior Blvd
St Louis Park, MN 55416-4728

Mailing address

4201 Excelsior Blvd
St Louis Park, MN 55416-4728
Phone (952) 933-8900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbarrett@lifemedical.us Direct Life Medical, P.A.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210910000318 MN Practitioner - Chiropractic 7416353818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Medical PAGroup PAC ID 6204938350, 8 clinicians
Minnesota Medical and Rehabilitative Services LLCGroup PAC ID 6406764703, 8 clinicians

Practice addresses (Care Compare)

225 University Ave W
Suite 122
Saint Paul, MN 55103-3905
Phone (651) 528-6169

4201 Excelsior Blvd
Minneapolis, MN 55416-4728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6804MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Medical and Rehabilitative Services, LLC CurrentSince Aug 7, 2021 Accepting new patients
Primary Care & Rehabilitation Clinics, Inc. Past Accepting new patients

Locations

4444 W 76th St
Ste 500
Minneapolis, MN 55435
Phone (952) 831-7246

225 University Ave W
Ste 122
Saint Paul, MN 55103
Phone (651) 525-6169

4201 Excelsior Blvd
St Louis Park, MN 55416
Phone (952) 564-3880

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1285205351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164728",
            "telephone_number": "952-933-8900",
            "fax_number": "952-945-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164728",
            "telephone_number": "952-933-8900",
            "fax_number": "952-945-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "TARAN",
        "middle_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbarrett@lifemedical.us",
            "affiliation": "Y",
            "affiliationName": "Life Medical, P.A.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4201 Excelsior Blvd",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554164728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.