Individual provider Active NPI

Mary Beth Tatarka

  • School Registered Nurse
  • Saint Paul, MN
National Provider Identifier
1407790231
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
1234325 Issued in MN
Practice address
360 Colborne St
Saint Paul, MN 55102-3228
Phone
(651) 744-3000
Fax
(651) 305-5176
NPI assigned
Apr 14, 2026
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 1234325 MN Primary

Addresses

Primary practice location

360 Colborne St
Saint Paul, MN 55102-3228

Mailing address

3708 Dakota Ave
Woodbury, MN 55125-5022
Phone (651) 744-3000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1234325MNMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1407790231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 DAKOTA AVE",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255022",
            "telephone_number": "651-744-3000",
            "fax_number": "651-305-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 COLBORNE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023228",
            "telephone_number": "651-744-3000",
            "fax_number": "651-305-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATARKA",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MN",
            "license": "1234325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.