Active NPI
Craig Howard Allen, ATC, LAT
- Athletic Trainer
- Saint Paul, MN
National Provider Identifier
1174284814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2679
- Practice address
- 255 Smith Ave N Ste 210
Saint Paul, MN 55102-2518 - Phone
- (952) 946-9777
- NPI assigned
- Jan 5, 2022
- Last updated
- Jan 5, 2022
- 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 | 2679 | MN | Primary |
Addresses
Primary practice location
255 Smith Ave N Ste 210
Saint Paul, MN 55102-2518
Mailing address
820 Marion St SE
Isanti, MN 55040-3222
Phone (180) 154-0006
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | craig.allen@allina.com | Health Information Exchange (HIE) | allina health orthopedics |
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 |
|---|---|---|---|
| 2679 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1174284814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 MARION ST SE",
"city": "ISANTI",
"state": "MN",
"postal_code": "550403222",
"telephone_number": "180-154-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 SMITH AVE N STE 210",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022518",
"telephone_number": "952-946-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "CRAIG",
"middle_name": "HOWARD",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2679",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "craig.allen@allina.com",
"affiliation": "Y",
"affiliationName": "allina health orthopedics",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "255 Smith Ave N Ste 210",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551022518",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saint Paul, MN
- All Nation Transportation Service LLC
- All Voices Augmentative Communication
- Allegiance Ability Assistance Health Care LLC
- Allegiance Ability Assistance LLC
- Allegiance Care Assistance LLC
- Jane Esther Allen, CPNP
- Kate Allen, LICSW
- Tonya Alley, LPN
- Alliance Chiropractic Health Center
- Alliance Pharmacy Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.