The College of St. Scholastica

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

THE COLLEGE OF ST. SCHOLASTICA

Practice address

CSS 1200 Kenwood Avenue
Student Health Service
Duluth, MN 55811

Phone

(218) 723-6282

Fax

(218) 723-5953

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Tad Sears

Title

Dirctor Schwb

Phone

(218) 723-6017

Specialties & licenses 1

Addresses

Other names 1

• Student Health Service Other name

Tax ID family

Student Health Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The College of St Scholastica

  • Family Nurse Practitioner
  • Duluth, MN
  • NPI 1902063027
  NPD tax ID

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992864821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CSS 1200 KENWOOD AVENUE",
            "address_2": "STUDENT HEALTH SERVICE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55811",
            "telephone_number": "218-723-6282",
            "fax_number": "218-723-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CSS 1200 KENWOOD AVENUE",
            "address_2": "STUDENT HEALTH SERVICE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55811",
            "telephone_number": "218-723-6282",
            "fax_number": "218-723-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COLLEGE OF ST. SCHOLASTICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEARS",
        "authorized_official_first_name": "TAD",
        "authorized_official_title_or_position": "DIRCTOR SCHWB",
        "authorized_official_telephone_number": "218-723-6017"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Elizabeth Tezak, MSW, LICSW
• Nongnut Thao
• Jenni Anne Tharaldson, CNP
• Katie Jo Thayer, OTR/L
• The College of St Scholastica
• The Dental Specialist of Minnesota, PLLC
• The Duluth Clinic LTD
• The Duluth Clinic LTD
• The Duluth Clinic LTD
• The Duluth Clinic LTD

• Nurse Practitioner in Duluth, MN
• Providers in Duluth, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.