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TARA JOHNSON
NPI 1912753153
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 29, 2024PECOS Enrolled
606 24TH AVE S FL 3, MINNEAPOLIS, MN 55454(612) 626-4939(612) 273-7112 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2024, Apr 29, 2024 (2 updates tracked since 2024).

About Tara Johnson NPPES

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

TARA JOHNSON (NPI 1912753153) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912753153
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTARA JOHNSON
Location Address606 24TH AVE S FL 3Minneapolis, MN 55454-1455
Mailing Address420 Delaware St SeMinneapolis, MN 55455-0341
Phone(612) 626-4939
Fax(612) 273-7112
Sole ProprietorNo
Enumeration DateApril 29, 2024
Last NPPES UpdateJune 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1912753153 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.
606 24TH AVE S FL 3, Minneapolis, MN 55454
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Johnson's NPI number?

The NPI number for Tara Johnson is 1912753153. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Tara Johnson located?

Tara Johnson practices at 606 24th Ave S Fl 3, Minneapolis, MN 55454. The listed phone number is (612) 626-4939.

What is Tara Johnson's specialty?

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

Is Tara Johnson enrolled in Medicare?

Yes. Tara Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Johnson was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.