Active NPI
Tara Haefner
- Audiologist
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 9444
- Practice address
- 1835 County Road C W
Roseville, MN 55113-1352 - Phone
- (651) 638-9981
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 9444 | MN | Primary |
Addresses
Primary practice location
1835 County Road C W
Roseville, MN 55113-1352
Mailing address
1835 County Road C W
Roseville, MN 55113-1352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients |
Locations
11400 N Jog Rd
Palm Beach Gardens, FL 33418
Phone 5614788770 ext. 181
4080 W Broadway Ave
Ste 136
Robbinsdale, MN 55422
Phone (763) 536-5440
1835 County Road C W
Ste 53
Saint Paul, MN 55113
Phone (651) 638-9981
1870 Beam Ave
Ste 1873
Saint Paul, MN 55109
Phone (651) 778-2907
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": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1649630013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 COUNTY ROAD C W",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 COUNTY ROAD C W",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131352",
"telephone_number": "651-638-9981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAEFNER",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-29",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "9444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.