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ETHAN JEROME TADDY
NPI 1740126259
Student in an Organized Health Care Education/Training Program in Arden Hills, MN

Active since April 27, 2026
2 PINE TREE DR, ARDEN HILLS, MN 55112(651) 635-8000 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Jerome Taddy NPPES

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

ETHAN JEROME TADDY (NPI 1740126259) is an individual student in an organized health care education/training program in Arden Hills, Minnesota and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1740126259
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN JEROME TADDY
Location Address2 PINE TREE DRArden Hills, MN 55112-3754
Mailing Address3823 Colgate AveMinnetonka, MN 55345-1706 · (952) 378-3882
Phone(651) 635-8000
Sole ProprietorNo
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1740126259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2 PINE TREE DR, Arden Hills, MN 55112
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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.

SAMANTHA SCHIMBKE
Student in an Organized Health Care Education/Training Program
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 635-8000
TAYLOR ADAMS
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 645-8000
JASMINE MOLIKA QUINLAN
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 638-6400
GRACE ELIZABETH GINTER
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 638-6400
SALMA ZAHRAN
Student in an Organized Health Care Education/Training Program
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (763) 245-6180
LAURYN RENEE CAULLEY
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 635-8000
MATTIE VIRGINIA OBREGON
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 638-6400
MADELINE ROSE MUNSTERMAN
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 635-8000

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 Ethan Taddy's NPI number?

The NPI number for Ethan Taddy is 1740126259. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Ethan Taddy located?

Ethan Taddy practices at 2 Pine Tree Dr, Arden Hills, MN 55112. The listed phone number is (651) 635-8000.

What is Ethan Taddy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Taddy was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.