Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tabitha Marie Tate

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1538621982

Tabitha Marie Tate is a Neonatal-Perinatal Medicine Physician in Minneapolis, Minnesota. Licensed in Illinois and Minnesota. Registered with an NPI since 2019.

Licensed in
IL, MN
In the registry since
2019
Specialties on file
3

Practice location Address checks out

2450 Riverside Ave # AO-401
Minneapolis, MN 55454-1450
Phone: (612) 626-2958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 71593 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 71593 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 125074103 (IL)

Record details

NPI number1538621982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address2450 Riverside Ave # Ao-401, Minneapolis, MN 55454-1450

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