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MRS. TAMARA K NIMMO PA-C
NPI 1730439688
Physician Assistant - Medical in Shakopee, MN

Active since September 18, 2012
4201 DEAN LAKES BLVD, SHAKOPEE, MN 55379(952) 496-6700 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2021, Apr 1, 2021, Nov 6, 2020 and 1 more (4 updates tracked since 2019).

About Mrs. Tamara K Nimmo Pa-c NPPES

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

MRS. TAMARA K NIMMO PA-C (NPI 1730439688) is an individual medical provider in Shakopee, Minnesota, licensed in Minnesota (11199) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1730439688
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. TAMARA K NIMMOCredential: PA-C
Location Address4201 DEAN LAKES BLVDShakopee, MN 55379-2829
Mailing Address14942 Creditview DrSavage, MN 55378-5604 · (952) 210-2188
Phone(952) 496-6700
Sole ProprietorNo
Enumeration DateSeptember 18, 2012
Last NPPES UpdateApril 13, 20214 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1730439688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MN · 11199
4201 DEAN LAKES BLVD, Shakopee, MN 55379
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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.

KATELYN SOEFFKER URES
Behavior Technician
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 509-6681
ASHLYN RECHTIENE
Technician, Other
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 416-1301
ELLIE BUABENG
Behavior Technician
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 416-1301
EMILY ENGE
Occupational Therapist
4201 DEAN LAKES BLVD, UNIT 160
SHAKOPEE, MN 55379
Scott County (612) 416-1301
HARLEY JEAN BRAKE WALKER
Behavior Technician
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (320) 241-2413
SYDNEY STOKES
Behavior Technician
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 509-6681
LISA LE
Student in an Organized Health Care Education/Training Program
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 416-1301
KATHLEEN NICOLE SHERER
Behavior Technician
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (612) 416-1301

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 Tamara Nimmo's NPI number?

The NPI number for Tamara Nimmo is 1730439688. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Tamara Nimmo located?

Tamara Nimmo practices at 4201 Dean Lakes Blvd, Shakopee, MN 55379. The listed phone number is (952) 496-6700.

What is Tamara Nimmo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Tamara Nimmo was last updated on April 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.