Tamara Quinlan Nelson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3604 Issued in MN

Practice address

1310 Highway 96 E Ste 212
White Bear Lake, MN 55110-3619

Phone

(612) 720-4805

Fax

(612) 206-8595

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Tamara Jo Quinlan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Afton Chiropractic Clinic

  • Chiropractor
  • Lakeland, MN
  • NPI 1912169087
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1730278276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 WEDGEWOOD DR",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551151790",
            "telephone_number": "612-720-4805",
            "fax_number": "612-206-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E STE 212",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103619",
            "telephone_number": "612-720-4805",
            "fax_number": "612-206-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TAMARA",
        "middle_name": "QUINLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "618323900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "QUINLAN",
            "middle_name": "JO",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Merica Regina Rene Neil
• Allison Joy Nelson, PA-C
• Justin James Nelson, DC
• Kate Renae Nelson
• Ryan Nelson
• Bruce L Neubauer, DDS
• Newtrax
• Sisley NG
• Diem Ngoc Nguyen, PHARMD
• Joshua Vinh Nguyen

• Chiropractor in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.