Thomas Russell Braaten

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

468726286 Issued in MN

Legal business name

THOMAS RUSSELL BRAATEN

Practice address

22020 University Ave
Cedar, MN 55011

Phone

(763) 780-3843

NPI assigned

Dec 30, 2014

Last updated

Dec 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Russell Braaten

Title

Manager

Phone

(763) 780-3843

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1841688835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 POLK ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55434",
            "telephone_number": "763-780-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22020 UNIVERSITY AVE",
            "city": "CEDAR",
            "state": "MN",
            "postal_code": "55011",
            "telephone_number": "763-780-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS RUSSELL BRAATEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "BRAATEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-780-3843"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "468726286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J Daniels, B.A., B.S., D.C.
• Diane Marie Grise', D.C.
• Olivia Rae Huf
• Mark Daniel Nelson, D.C., FACO
• Mark A Netzinger, RPT

• Home Health Aide in Cedar, MN
• Providers in Cedar, MN by specialty
• Home Health Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.