HERSELF HEALTH MN MEMBERSHIP PC
NPI 1114887221
Internal Medicine in Saint Paul, MN

Q: What is Herself Health Mn Membership PC's NPI number?

The NPI number for Herself Health Mn Membership PC is 1114887221. It was assigned to this organization in the NPPES registry on November 12, 2025. The provider is also known as Herself Health.

Q: What is Herself Health Mn Membership PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 12, 2025

2004 FORD PKWY, SAINT PAUL, MN 55116(888) 290-1209 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Herself Health Mn Membership Pc NPPES

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

HERSELF HEALTH MN MEMBERSHIP PC (NPI 1114887221) is a healthcare organization registered as an internal medicine in Saint Paul, Minnesota and active in the NPI registry since November 2025. The organization lists Deborah Dittberner, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1114887221

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameHERSELF HEALTH MN MEMBERSHIP PC

Location Address2004 FORD PKWYSaint Paul, MN 55116-1931

Mailing Address2004 Ford PkwySaint Paul, MN 55116-1931 · (888) 290-1209

Phone(888) 290-1209

Organization SubpartNo

Authorized OfficialDeborah DittbernerOwner/president · (888) 290-1209

Enumeration DateNovember 12, 2025

NPPES CertifiedNovember 12, 2025

✔ NPI 1114887221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

2004 FORD PKWY, Saint Paul, MN 55116

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Other Names 1

Other NameHerself Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2266531

Herself Health Mn, PC · Saint Paul, MN

Expired · Aug 10, 2026

CLIA Number24D2266531

Laboratory TypePhysician Office

Certificate Effective DateAugust 11, 2024

Certificate Expiration DateAugust 10, 2026

Laboratory DirectorDanielle Meuleners

Laboratory Phone(952) 923-5507

Laboratory LocationHerself Health Mn, PC2004 Ford Parkway, Saint Paul, MN 55116

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

KARI ANNETTE BAILLIF

Nurse Practitioner (Primary Care)