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MRS. TARA RANDOLPH PNP
NPI 1760119622
Nurse Practitioner - Pediatrics in Minnetonka, MN

Active since August 02, 2022
17705 HUTCHINS DR, MINNETONKA, MN 55345(952) 401-8252(952) 401-8286 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Tara Randolph Pnp NPPES

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

MRS. TARA RANDOLPH PNP (NPI 1760119622) is an individual pediatrics provider in Minnetonka, Minnesota, licensed in Minnesota (9228) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1760119622
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. TARA RANDOLPHCredential: PNP
Location Address17705 HUTCHINS DRMinnetonka, MN 55345-4145
Mailing Address6100 W 101st StBloomington, MN 55438-1816 · (612) 790-1297
Phone(952) 401-8252
Fax(952) 401-8286
Sole ProprietorNo
Enumeration DateAugust 2, 2022
NPPES CertifiedJuly 28, 2022
✔ NPI 1760119622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · 9228
17705 HUTCHINS DR, Minnetonka, MN 55345
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Other Names 1

Former Name (1)Mrs. Tara Kluxdal

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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.

DR. LORENE FREEHILL MD
Pediatrics
17705 HUTCHINS DR, SUITE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
MARY HOBBS MELAND MD
Pediatrics
17705 HUTCHINS DR
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
DR. TRACY GOETZ HALL M.D.
Pediatrics
17705 HUTCHINS DR
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
DR. MICHAEL JOHN GARVIS M.D.
Pediatrics
17705 HUTCHINS DR
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
MARIA MCGANNON
Nurse Practitioner (Pediatrics)
17705 HUTCHINS DR, SUITE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
DR. MARK ROBERT JENSEN DDS
Dentist (Endodontics)
17705 HUTCHINS DR, #207
MINNETONKA, MN 55345
Hennepin County (952) 474-6600
DR. LAURA SHRAGER SALITERMAN M.D.
Pediatrics
17705 HUTCHINS DR, SUITE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
DR. LARRY G. MANNEY M.D.
Pediatrics
17705 HUTCHINS DR, SUITE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300

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 Randolph's NPI number?

The NPI number for Tara Randolph is 1760119622. It was assigned to this individual provider in the NPPES registry on August 2, 2022. The provider is also known as Mrs. Tara Kluxdal.

Where is Tara Randolph located?

Tara Randolph practices at 17705 Hutchins Dr, Minnetonka, MN 55345. The listed phone number is (952) 401-8252.

What is Tara Randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Tara Randolph accept?

Health plans from HealthPartners and Medica list Tara Randolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Randolph was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.