Active NPI
Tamara Statz
- Marriage & Family Therapist
- Minneapolis, MN
National Provider Identifier
1821423427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 3108 44TH Ave S
Minneapolis, MN 55406-2314 - Phone
- (612) 251-5080
- NPI assigned
- Sep 13, 2013
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
3108 44TH Ave S
Minneapolis, MN 55406-2314
Mailing address
3108 44TH Ave S
Minneapolis, MN 55406-2314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2931 | MN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1821423427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 44TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554062314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 44TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554062314",
"telephone_number": "612-251-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATZ",
"first_name": "TAMARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-13",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
- State of Minnesota-Minnesota Management and Budget (Minnesota Veterans Home - Minneapolis Adult Day Center)
- State of Minnesota-Minnesota Management and Budget (Minnesota Veterans Home - Pharmacy)
- Antony Stately, PHD, LP
- Alyx Statler
- Angela Stattman
- Anna Staudacher, MD
- Susan R Staudt, MD
- Jessica Stauffer, PA
- William M Stauffer III, MD
- Ruth A Staus, ANP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.