Active NPI
Taylor Oberpriller
- Student in an Organized Health Care Education/Training Program
- Edina, MN
National Provider Identifier
1770351405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- N134187555008
- Practice address
- 5510 Highwood Dr W
Edina, MN 55436-1227 - Phone
- (612) 868-3555
- NPI assigned
- Dec 12, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | N134187555008 | MN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | N134187555008 | MN | Primary |
Addresses
Primary practice location
5510 Highwood Dr W
Edina, MN 55436-1227
Mailing address
5510 Highwood Dr W
Edina, MN 55436-1227
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N134187555008 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1770351405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 HIGHWOOD DR W",
"city": "EDINA",
"state": "MN",
"postal_code": "554361227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 HIGHWOOD DR W",
"city": "EDINA",
"state": "MN",
"postal_code": "554361227",
"telephone_number": "612-868-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERPRILLER",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "N134187555008",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MN",
"license": "N134187555008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
- Matthew John O'Shaughnessy, MD, PHD
- Heather O'Shea, SA
- Oasis Healthcare Services LLC
- Stephen Robert Obaid, M.D.
- Katherine Eileen Obermire, MD
- Obstetrics and Gynecology Associates, P.a.
- Obstetrics, Gynecology & Infertilitiy, PA
- Occupational Medicine Consultants, LTD
- Ocean Waves Massage & 02 Lounge
- Maureen Carol Ochsner, APNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.