Active NPI
Vickie Tierney
- Registered Nurse
- Little Canada, MN
National Provider Identifier
1881049534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R091543-8
- Practice address
- 2980 Rice St
Little Canada, MN 55113 - Phone
- (651) 488-4655
- Fax
- (651) 488-4656
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R091543-8 | MN | Primary |
Addresses
Primary practice location
2980 Rice St
Little Canada, MN 55113
Mailing address
2980 Rice St
Little Canada, MN 55113-2230
Phone (651) 488-4655
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 |
|---|---|---|---|
| R091543-8 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1881049534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 RICE ST",
"city": "LITTLE CANADA",
"state": "MN",
"postal_code": "551132230",
"telephone_number": "651-488-4655",
"fax_number": "651-488-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 RICE ST",
"city": "LITTLE CANADA",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-488-4655",
"fax_number": "651-488-4656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIERNEY",
"first_name": "VICKIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R091543-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Canada, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.