Amy Tannahill

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R1346459 Issued in MN

Practice address

11455 Viking Dr
Ste 300
Eden Prairie, MN 55344-7251

Phone

(952) 993-2498

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295712289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 WAYZATA BLVD",
            "address_2": "STE 315",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11455 VIKING DR",
            "address_2": "STE 300",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447251",
            "telephone_number": "952-993-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNAHILL",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R1346459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasim Nicole Tajik
• Lubna Takwa, RPH
• Talk Therapy
• Talk Therapy, LTD.
• Boe Michael Tankersley, D.C.
• Dheeraj Taranath, DO
• Barbara Elaine Taylor, M.D.
• Margaret Ann Taylor, CNP
• Marissa Lorraine Taylor, AU.D.
• Nelya S Taylor, RN

• Pediatric Nurse Practitioner in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.