Active NPI
Tara Cliff, RN, LSN
- Registered Nurse
- Chaska, MN
National Provider Identifier
1649114166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R131702-2
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 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
| License | State | Type | Specialty |
|---|---|---|---|
| R131702-2 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Local Education Agency (LEA)
- Chaska, MN
- NPI 1770647786
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.