Active NPI
Anica K Herrera
- Athletic Trainer
- Eagan, MN
National Provider Identifier
1144922469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3759
- Practice address
- 2700 Vikings Cir
Eagan, MN 55121-1002 - Phone
- (952) 456-7600
- NPI assigned
- Mar 20, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 315556 | MN | |
| Athletic Trainer | 2255A2300X | 3759 | MN | Primary |
Addresses
Primary practice location
2700 Vikings Cir
Eagan, MN 55121-1002
Mailing address
2700 Vikings Cir
Eagan, MN 55121-1002
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 |
|---|---|---|---|
| 3759 | MN | MD | Psychologist |
| 315556 | MN | MD | Sports Medicine (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1144922469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 VIKINGS CIR",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 VIKINGS CIR",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211002",
"telephone_number": "952-456-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "ANICA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "MN",
"license": "315556",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "3759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.