Active NPI
Curtis James Simondet, ATC
- Athletic Trainer
- Minneapolis, MN
National Provider Identifier
1104176452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2150
- Practice address
- 4801 13TH Ave S
Minneapolis, MN 55417-1114 - Phone
- (952) 393-2388
- NPI assigned
- Sep 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 2150 | MN | Primary |
Addresses
Primary practice location
4801 13TH Ave S
Minneapolis, MN 55417-1114
Mailing address
4801 13TH Ave S
Minneapolis, MN 55417-1114
Phone (952) 393-2388
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 |
|---|---|---|---|
| 2150 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1104176452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 13TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554171114",
"telephone_number": "952-393-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 13TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554171114",
"telephone_number": "952-393-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONDET",
"first_name": "CURTIS",
"middle_name": "JAMES",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.