Active NPI
Kristine E. Sanders, D.C.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1013222835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5265
- Practice address
- 1497 White Bear Ave N
Saint Paul, MN 55106-2414 - Phone
- (651) 705-6701
- NPI assigned
- Aug 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5265 | MN | Primary |
| Nutrition Chiropractor | 111NN1001X | 5265 | MN | |
| Rehabilitation Chiropractor | 111NR0400X | 5265 | MN |
Addresses
Primary practice location
1497 White Bear Ave N
Saint Paul, MN 55106-2414
Mailing address
5115 Excelsior Blvd
Minneapolis, MN 55416-2906
Phone (651) 431-1962
Other names 1
- Dr. K. Erica Sanders
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5265 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1013222835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 EXCELSIOR BLVD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554162906",
"telephone_number": "651-431-1962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1497 WHITE BEAR AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551062414",
"telephone_number": "651-705-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "KRISTINE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5265",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MN",
"license": "5265",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MN",
"license": "5265",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "K.",
"last_name": "SANDERS",
"middle_name": "ERICA",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.