NPIMap

Organization Active NPI

Target Clinic

  • Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1447648506
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R 158470 3 Issued in MN
Legal business name
TARGET CLINIC
Practice address
1300 University Ave W
Saint Paul, MN 55104-4103
Phone
(651) 642-1146
NPI assigned
Dec 24, 2014
Last updated
Dec 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Authorized official

Name
Christy Berryhill
Title
FNP
Phone
(612) 327-5134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R 158470 3 MN Primary

Addresses

Primary practice location

1300 University Ave W
Saint Paul, MN 55104-4103

Mailing address

1300 University Ave W
Saint Paul, MN 55104-4103
Phone (651) 642-1146

National Provider Directory

National Provider Directory
Tax ID family
Target Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1447648506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044103",
            "telephone_number": "651-642-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044103",
            "telephone_number": "651-642-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "BERRYHILL",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "612-327-5134"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R 158470 3",
            "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 Dec 24, 2014; 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.