Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073453205 Individual Practitioner Female Practitioner

Tina Perry

Licensed Practical Nurse • Maplewood, MN

Professional Overview & Biography Verified Profile Summary

Tina Perry is a registered healthcare professional specializing in Licensed Practical Nurse in Maplewood, MN. Practice services are available at 3100 KENNARD ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3100 Kennard St Ste 100

Maplewood, MN 551095466

Telephone 6512255420
Associated Practice Facility / Clinic
🏢 Minneapolis Vamc Facility NPI 1659328292

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Maplewood, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Maplewood, MN (881 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-30
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MN L0404295

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Alyssa Williams , LPN

Licensed Practical Nurse

NPI 1073465118

Licensed Practical Nurse

Dr. Julia Buteyn , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1285217836

Doctor of Pharmacy (Pharm.D.)

Morgan Mckinley

Licensed Practical Nurse

NPI 1295687176
NPI 1992496004

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 30, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2026

Registered at 3100 KENNARD ST STE 100, MAPLEWOOD, MN 551095466 (Tel: 6512255420)

📍
Updated Business Mailing Address March 30, 2026

Registered at 10735 SHARONS WAY, CHISAGO CITY, MN 550139468

👤
Provider Name / Credentials Updated March 30, 2026

Recorded as TINA PERRY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2026

Licensed Practical Nurse (License #L0404295 in MN)

🟢
Initial NPI Registration & Enumeration March 30, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073453205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2026
Last Update: March 30, 2026
Sole Proprietor: Yes

Mailing Address

10735 Sharons Way

Chisago City, MN 550139468

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.