Individual provider Active NPI

Tammy R. Fimrite, D.C.

  • Chiropractor
  • Saint Cloud, MN
National Provider Identifier
1851378376
Registry record updated Jan 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4006 Issued in MN
Practice address
203 Park Ave S
Suite 101
Saint Cloud, MN 56301-3779
Phone
(320) 253-5650
NPI assigned
Dec 27, 2005
Last updated
Jan 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 862 MN
Chiropractor 111N00000X 4006 MN Primary

Addresses

Primary practice location

203 Park Ave S
Suite 101
Saint Cloud, MN 56301-3779

Mailing address

203 Park Ave South
St. Cloud, MN 56301
Phone (320) 253-5650

Other identifiers 5

IdentifierTypeStateIssuer
624731800MedicaidMN
0016JOtherMNHSM ELECT
181M9FIOtherMNBCBS
350002764OtherMNRAILROAD
625801OtherMNCHIROCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000476 MN Practitioner - Chiropractic 4183667587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minser Chiropractic Clinic, P.a., Inc.Group PAC ID 4486552544, 5 clinicians

Practice addresses (Care Compare)

203 Park Ave S
Saint Cloud, MN 56301-6146

203 Park Ave S
Suite 101
Saint Cloud, MN 56301-3779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4006MNMDMarriage & Family Therapist
862MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Minser Chiropractic Clinic, P.a., Inc. Chiropractor CurrentSince Jan 1, 2003 Accepting new patients

Locations

203 Park Ave S
Ste 101
Saint Cloud, MN 56301
Phone (320) 253-5650

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578700800000",
    "number": "1851378376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PARK AVE SOUTH",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56301",
            "telephone_number": "320-253-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PARK AVE S",
            "address_2": "SUITE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013779",
            "telephone_number": "320-253-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIMRITE",
        "first_name": "TAMMY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "862",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624731800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HSM ELECT",
            "identifier": "0016J",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "181M9FI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "350002764",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROCARE",
            "identifier": "625801",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.