Active NPI
Daniel Augustinack
- Athletic Trainer
- Minneapolis, MN
National Provider Identifier
1053704296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 3033 Excelsior Blvd Ste 225
Minneapolis, MN 55416-0026 - Phone
- (612) 821-4375
- NPI assigned
- Mar 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | MN | Primary |
Addresses
Primary practice location
3033 Excelsior Blvd Ste 225
Minneapolis, MN 55416-0026
Mailing address
3033 Excelsior Blvd Ste 225
Minneapolis, MN 55416-0026
Phone (612) 821-4375
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1053704296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 EXCELSIOR BLVD STE 225",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554160026",
"telephone_number": "612-821-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 EXCELSIOR BLVD STE 225",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554160026",
"telephone_number": "612-821-4375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINACK",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
- Augustana Community Partners
- Augustana Community Partners (Augustana Signe Burckhardt)
- Augustana Mount Olivet Hospice Care LLC (Grace Palliative Care)
- Augustana Mount Olivet Hospice Care LLC
- Joshua Ryan Augustin, D.O.
- Daniel Augustine, CAPS
- Virginia Aumann, LGSW
- Danielle Aune, MA, LPCC, LADC
- Win Aung
- Aunique Home Care and Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.