Ronni Kaye Beatty-Kollasch, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1926 Issued in MN

Practice address

Bierman Field Athletic Building
516 - 15TH Avenue SE
Minneapolis, MN 55455

Phone

(612) 625-5845

Fax

(612) 626-7748

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1174563894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14969 77TH LN NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306921",
            "telephone_number": "612-741-6007",
            "fax_number": "612-626-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BIERMAN FIELD ATHLETIC BUILDING",
            "address_2": "516 - 15TH AVENUE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-625-5845",
            "fax_number": "612-626-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY-KOLLASCH",
        "first_name": "RONNI",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beasley Counseling
• Abigail Beasley, LICSW
• Ashley J Beasley, RN, CNP
• Shannon M Beasley, CPNP, PHN, CDE
• Arianna Beaton
• Zachary J Beatty, M.D.
• Carroll Lee Beaty
• Lera M Beauchane, APRN, CRNA
• Anne Beaudin, DMD
• Nicholas Dale Beaudoin

• Athletic Trainer in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.