NPIMap

Individual provider Active NPI

Tiffany Ann Habben, D.O.

  • Family Medicine Physician
  • Burnsville, MN
National Provider Identifier
1417219296
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7923 Issued in MN
Practice address
14000 Nicollet Ave Ste 100
Burnsville, MN 55337-5793
Phone
(952) 428-0200
NPI assigned
Jun 8, 2012
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P7923 MN Primary

Addresses

Primary practice location

14000 Nicollet Ave Ste 100
Burnsville, MN 55337-5793

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thabben68371@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150924002687 MN Practitioner - Family Practice 7911215967 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

111 Hundertmark Rd
Suite 220
Chaska, MN 55318-1197
Phone (952) 856-4001

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
P7923MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Jan 1, 2026 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System Family Medicine Current Accepting new patients
Ridgeview Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Sibley Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Ridgeview Medical Center Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Allina Health System CurrentSince Sep 28, 2015 Accepting new patients
Allina Health System CurrentSince Sep 28, 2015 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

14000 Nicollet Ave
Ste 100
Burnsville, MN 55337
Phone (950) 985-8275

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 115N
Chaska, MN 55318
Phone (952) 361-2450

111 Hundertmark Rd
Ste 220
Chaska, MN 55318
Phone (952) 428-2050

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Interoperability endpoints

  • Direct secure messaging: thabben68371@excellian.direct.allina.com

Organizations & group practices 11

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

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1417219296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 NICOLLET AVE STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375793",
            "telephone_number": "952-428-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABBEN",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "P7923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thabben68371@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "111 Hundertmark Rd Ste 220",
            "city": "Chaska",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553181197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.