Doctor profile · Federal record
Dr. Tara Peacock, CNP
Adult Health Nurse Practitioner · Saint Paul, MN
- NPI 1376976332
- 13 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1021 Bandana Blvd E, Suite 100
Saint Paul, MN 551085113
(651) 241-9700 - Mailing address
-
2925 Chicago Ave
Minneapolis, MN 554071321
Credentials & registration
- NPI registered
- August 2013 — 13 yrs on file
- Profile last updated
- March 3, 2014
- Specialty taxonomy
- 363LA2200X — NUCC code
- State license (1)
- Minnesota #R1753372
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376976332. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 1 | $16.01 |
By nature of payment
Frequently asked questions
What is Dr. Tara Peacock's medical specialty?
Dr. Tara Peacock practices Adult Health Nurse Practitioner in Saint Paul, MN.
Where does Dr. Tara Peacock practice?
Dr. Tara Peacock practices at 1021 Bandana Blvd E, Saint Paul, MN 551085113. Office phone: 6512419700.
What is Dr. Tara Peacock's NPI?
Dr. Tara Peacock's National Provider Identifier (NPI) is 1376976332, issued by NPPES.