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TINA PERRY
NPI 1073453205
Licensed Practical Nurse in Maplewood, MN

Active since March 30, 2026
3100 KENNARD ST STE 100, MAPLEWOOD, MN 55109(651) 225-5420 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Perry NPPES

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

TINA PERRY (NPI 1073453205) is an individual licensed practical nurse in Maplewood, Minnesota, licensed in Minnesota (L0404295) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1073453205
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTINA PERRY
Location Address3100 KENNARD ST STE 100Maplewood, MN 55109-5466
Mailing Address10735 Sharons WayChisago City, MN 55013-9468
Phone(651) 225-5420
Sole ProprietorYes
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
✔ NPI 1073453205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MN · L0404295
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3100 KENNARD ST STE 100, Maplewood, MN 55109
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Other Providers at the Same Location NPPES 5

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

MR. KHRISTOPHER MICHAEL GRANT PA-C
Physician Assistant
3100 KENNARD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800
MRS. JETTIE MAE NDUMBE I LPN
Licensed Practical Nurse
3100 KENNARD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 225-5400
SAMIR N. SALAMA MD
Internal Medicine
3100 KENNARD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-5757
JULIA BUTEYN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3100 KENNARD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 225-5420
MINNEAPOLIS VAMC
Clinic/Center (VA)
3100 KENNARD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (913) 578-4409

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 Tina Perry's NPI number?

The NPI number for Tina Perry is 1073453205. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Tina Perry located?

Tina Perry practices at 3100 Kennard St Ste 100, Maplewood, MN 55109. The listed phone number is (651) 225-5420.

What is Tina Perry's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tina Perry was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.