Allina Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALLINA HEALTH SYSTEM

Doing business as

Allina Health Woodbury Clinic

Practice address

8675 Valley Creek Rd
Woodbury, MN 55125-2337

Phone

(651) 241-3000

Fax

(651) 241-3500

NPI assigned

Feb 2, 2011

Last updated

Feb 26, 2025By 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

Dominica Tallarico

Title

Coo

Phone

(612) 222-2222

Specialties & licenses 3

Addresses

Other names 1

• Allina Health Woodbury Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 72

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander A Axelrod, MD

  • Family Medicine Physician
  • Edina, MN
  • NPI 1376545764
  NPD
• Pallavi Patpatia Bains, D.O

  • Family Medicine Physician
  • Woodbury, MN
  • NPI 1538505748
  NPD
• Brenda Joy Baker, P.A.C

  • Physician Assistant
  • Edina, MN
  • NPI 1417922873
  NPD
• Sarah Ann Beckmann, PHD, LP

  • Clinical Psychologist
  • Cambridge, MN
  • NPI 1649522905
  NPD
• Carly Alexandra Besch, PA

  • Physician Assistant
  • Coon Rapids, MN
  • NPI 1194386425
  NPD
• Chamaera Mone Beyene, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1285192252
  NPD
• Tanya Borchert

  • Clinical Social Worker
  • Faribault, MN
  • NPI 1235663428
  NPD
• Mary A Bradmiller, PHD

  • Psychologist
  • Minneapolis, MN
  • NPI 1962421537
  NPD
• Lyubov A. Burleson, M.D.

  • Psychiatry Physician
  • Anoka, MN
  • NPI 1629367446
  NPD
• Stephanie Clark, PA-C

  • Physician Assistant
  • Bloomington, MN
  • NPI 1427413590
  NPD
• Rebecca L Cook, PSYD, LP

  • Psychologist
  • Minneapolis, MN
  • NPI 1134181696
  NPD
• Heidi Marie Coplin, MD

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1851345672
  NPD

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1902102353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "MAIL ROUTE 10585",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400043",
            "telephone_number": "612-262-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 VALLEY CREEK RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252337",
            "telephone_number": "651-241-3000",
            "fax_number": "651-241-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "TALLARICO",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "612-222-2222"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.6635.1.1",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allina Health Woodbury Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allina Health Woodbury Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allina Health System (Minnesota Perinatal Physicians)
• Allina Health System (Allina Health Woodbury Pharmacy)
• Allina Health System (Allina Health Woodbury Pharmacy)
• Allina Health System (Allina Health Float Pool)
• Allina Health System (Allina Health Urgent Care Woodbury)
• Alloy Acupuncture
• Rawdah Mazen Almadani
• Nathan Alpert
• Alpha Care Family Services, Inc.
• Rudolf Alvey, M.D.

• Family Medicine Physician in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.