TIFFANY S HALL PA-C
NPI 1205012424
Physician Assistant in Blaine, MN

Active since January 17, 2008
1500 109TH AVE NE, BLAINE, MN 55449(763) 421-5011 Get Directions Write a Review

NPPES record last updated: January 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2019, Oct 30, 2017 (2 updates tracked since 2017).

About Tiffany S Hall Pa-c NPPES

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

TIFFANY S HALL PA-C (NPI 1205012424) is an individual physician assistant in Blaine, Minnesota, licensed in Minnesota (10653) and active in the NPI registry since January 2008. She maintains a secondary practice location in Blaine.

NPPES Registry Identity

NPI1205012424
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIFFANY S HALLCredential: PA-C
Location Address1500 109TH AVE NEBlaine, MN 55449
Mailing Address1500 109th Ave NeBlaine, MN 55449-4670 · (763) 421-5011
Sole ProprietorNo
Enumeration DateJanuary 17, 2008
Last NPPES UpdateJanuary 20, 20192 updates tracked since enumeration
NPI 1205012424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 10653
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 109TH AVE NE, Blaine, MN 55449

Other Names 1

Former Name (1)Tiffany S Kalar

Secondary Practice Location 1

Location 11500 109th Ave NEBlaine, MN 55449-4670 · Phone (763) 421-5011

Other Providers at the Same Location NPPES 16

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

Optometrist
1500 109TH AVE NE
BLAINE, MN 55449
Pharmacist
1500 109TH AVE NE, T1832
BLAINE, MN 55449
Pharmacy
1500 109TH AVE NE
BLAINE, MN 55449
Pharmacist
1500 109TH AVE NE
BLAINE, MN 55449
Nurse Practitioner (Family)
1500 109TH AVE NE, MINUTE CLINIC
BLAINE, MN 55449
Optometrist
1500 109TH AVE NE
BLAINE, MN 55449
Physician Assistant
1500 109TH AVE NE
BLAINE, MN 55449
Physician Assistant
1500 109TH AVE NE
BLAINE, MN 55449

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 Tiffany Hall's NPI number?

The NPI number for Tiffany Hall is 1205012424. It was assigned to this individual provider in the NPPES registry on January 17, 2008. The provider is also known as Tiffany S Kalar.

Where is Tiffany Hall located?

Tiffany Hall practices at 1500 109th Ave NE, Blaine, MN 55449. The listed phone number is (763) 421-5011.

What is Tiffany Hall's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tiffany Hall was last updated on January 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.