Active NPI
Jan Daniels Kristenson, LSW
- Social Worker
- Shakopee, MN
National Provider Identifier
1063411577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5138
- Practice address
- 200 4TH Ave W
Government Center RM 300
Shakopee, MN 55379-1220 - Phone
- (952) 496-8504
- NPI assigned
- Jul 18, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 5138 | MN | Primary |
Addresses
Primary practice location
200 4TH Ave W
Government Center RM 300
Shakopee, MN 55379-1220
Mailing address
200 4TH Ave W
Government Center RM 300
Shakopee, MN 55379-1220
Other names 1
- Jan Daniels
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 |
|---|---|---|---|
| 5138 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063411577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 4TH AVE W",
"address_2": "GOVERNMENT CENTER RM 300",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553791220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 4TH AVE W",
"address_2": "GOVERNMENT CENTER RM 300",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553791220",
"telephone_number": "952-496-8504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISTENSON",
"first_name": "JAN",
"middle_name": "DANIELS",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "5138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAN",
"last_name": "DANIELS",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.