Individual provider Active NPI

Tara Cliff, RN, LSN

  • Registered Nurse
  • Chaska, MN
National Provider Identifier
1649114166
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R131702-2 Issued in MN
Practice address
11 Peavey Rd
Chaska, MN 55318-2321
Phone
(952) 556-6100
NPI assigned
Apr 15, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X R131702-2 MN Primary

Addresses

Primary practice location

11 Peavey Rd
Chaska, MN 55318-2321

Mailing address

3044 Fairway Dr
Chaska, MN 55318-3410
Phone (952) 270-3912

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R131702-2MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chaska Independent School District 112 Past Accepting new patients

Organizations & group practices 1

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": "1776211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1649114166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 FAIRWAY DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553183410",
            "telephone_number": "952-270-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PEAVEY RD",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182321",
            "telephone_number": "952-556-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFF",
        "first_name": "TARA",
        "credential": "RN, LSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R131702-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.