Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TANNER NIEMANN
NPI 1053244558
Emergency Medical Technician, Intermediate in Mendota Heights, MN

Active since June 04, 2026
2520 PILOT KNOB RD STE 250, MENDOTA HEIGHTS, MN 55120(651) 224-8264 Get Directions Write a Review

NPPES record added: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanner Niemann NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER NIEMANN (NPI 1053244558) is an individual emergency medical technician, intermediate provider in Mendota Heights, Minnesota and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1053244558
Entity TypeIndividualMale
Primary Taxonomy146M00000X
Provider Legal NameTANNER NIEMANN
Location Address2520 PILOT KNOB RD STE 250Mendota Heights, MN 55120-1347
Mailing Address6480 153rd Way NwRamsey, MN 55303-4402 · (612) 432-6155
Sole ProprietorYes
Enumeration DateJune 4, 2026
NPPES CertifiedJune 4, 2026
NPI 1053244558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers
Taxonomy Code146M00000X
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
2520 PILOT KNOB RD STE 250, Mendota Heights, MN 55120

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
2520 PILOT KNOB RD STE 250
MENDOTA HEIGHTS, MN 55120
Clinic/Center (Occupational Medicine)
2520 PILOT KNOB RD STE 250
MENDOTA HEIGHTS, MN 55120
Physical Therapist
2520 PILOT KNOB RD STE 250
MENDOTA HEIGHTS, MN 55120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Niemann's NPI number?

The NPI number for Tanner Niemann is 1053244558. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Tanner Niemann located?

Tanner Niemann practices at 2520 Pilot Knob Rd Ste 250, Mendota Heights, MN 55120. The listed phone number is (651) 224-8264.

What is Tanner Niemann's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

When was this NPI record last updated?

The NPPES record for Tanner Niemann was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.