NPIMap

Organization Active NPI

Community Nurse

  • Home Health Agency
  • Elk River, MN
National Provider Identifier
1992114219
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMUNITY NURSE
Practice address
18072 Vance Cir NW
Elk River, MN 55330-4712
Phone
(612) 387-6629
Fax
(763) 267-7245
NPI assigned
Aug 12, 2014
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Perkaloah Amanda Queeglay-TarpehNPI 1043551666
Title
Register Nurse
Phone
(612) 387-6629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18072 Vance Cir NW
Elk River, MN 55330-4712

Mailing address

18072 Vance Cir NW
Elk River, MN 55330-4712
Phone (612) 387-6629

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1992114219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18072 VANCE CIR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304712",
            "telephone_number": "612-387-6629",
            "fax_number": "763-267-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18072 VANCE CIR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304712",
            "telephone_number": "612-387-6629",
            "fax_number": "763-267-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NURSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "QUEEGLAY-TARPEH",
        "authorized_official_first_name": "PERKALOAH",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "REGISTER NURSE",
        "authorized_official_telephone_number": "612-387-6629"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.