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TARA N PEACOCK CNP
NPI 1376976332
Nurse Practitioner - Adult Health in Saint Paul, MN

Active since August 14, 2013
1021 BANDANA BLVD E, SUITE 100, SAINT PAUL, MN 55108(651) 241-9700 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara N Peacock Cnp NPPES

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

TARA N PEACOCK CNP (NPI 1376976332) is an individual adult health provider in Saint Paul, Minnesota, licensed in Minnesota (R1753372) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1376976332
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTARA N PEACOCKCredential: CNP
Location Address1021 BANDANA BLVD E, SUITE 100Saint Paul, MN 55108-5113
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000 · Fax (612) 262-4258
Phone(651) 241-9700
Sole ProprietorNo
Enumeration DateAugust 14, 2013
Last NPPES UpdateMarch 3, 2014
✔ NPI 1376976332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MN · R1753372
1021 BANDANA BLVD E, Saint Paul, MN 55108
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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.

ALLINA HEALTH SYSTEM
Family Medicine
1021 BANDANA BLVD E, STE 100
ST PAUL, MN 55108
Ramsey County (651) 241-9700
RACHEL JO SCHULTZ
Physician Assistant
1021 BANDANA BLVD E
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
MRS. SUZANNE HELENE SACKETT PA-C, MHS
Physician Assistant
1021 BANDANA BLVD E, SUITE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
LAURA A MELMS DNP
Nurse Practitioner (Family)
1021 BANDANA BLVD E
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
TERESA KIRESUK NP
Nurse Practitioner (Gerontology)
1021 BANDANA BLVD E, SUITE 200
SAINT PAUL, MN 55108
Ramsey County (651) 637-2960
DR. TAIWO ADEBOLA LAWAL M.D., M.P.H., FACP
Internal Medicine
1021 BANDANA BLVD E, STE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
KIMBERLEY MULLIN PA-C
Physician Assistant
1021 BANDANA BLVD E, SUITE 100
SAINT PAUL, MN 55108
Ramsey County (651) 241-9700
MICHAEL H FLAMENBAUM DMD
Dentist (Pediatric Dentistry)
1021 BANDANA BLVD E, SUITE 121
SAINT PAUL, MN 55108
Ramsey County (651) 224-4969

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 Tara Peacock's NPI number?

The NPI number for Tara Peacock is 1376976332. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Tara Peacock located?

Tara Peacock practices at 1021 Bandana Blvd E Suite 100, Saint Paul, MN 55108. The listed phone number is (651) 241-9700.

What is Tara Peacock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Tara Peacock was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.