Tou Su Taylor Kong

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

33 Battle Creek PL
Saint Paul, MN 55119-4909

Phone

(651) 263-2866

NPI assigned

Aug 23, 2016

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Homerun Transition Services LLC

  • Case Management Agency
  • Saint Paul, MN
  • NPI 1902334576
  NPD (past) Authorized official

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1194270801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BATTLE CREEK PL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194909",
            "telephone_number": "651-263-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BATTLE CREEK PL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194909",
            "telephone_number": "651-263-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "TOU",
        "middle_name": "SU TAYLOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Ann Kolman-Stich, LICSW
• Laurie D Koltes, MA, LP
• Craig M Kompelien, CRNA
• Rohee Njell-Tepe Konde
• Laticia Kondrasuk, CRNA
• Mary B Koolmo, APRN, CNP
• Steven Early Koop, MD
• Hannah Rachel Kopel
• Elizabeth Kopf, MA CCC-SLP
• Richard A Kopher, MD

• Driver in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Driver in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.