Individual provider Active NPI

Kristin Marie Hinke, MS, BCBA, LBA

  • Behavior Analyst
  • Oakdale, MN
National Provider Identifier
1215544531
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0408 Issued in MN
Practice address
7755 3Rd St N Ste 150
Oakdale, MN 55128-5442
Phone
(651) 867-6684
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X LBA0408 MN Primary

Addresses

Primary practice location

7755 3Rd St N Ste 150
Oakdale, MN 55128-5442

Mailing address

7755 3Rd St N
Oakdale, MN 55128-5442
Phone (651) 867-6684

Other practice location 1

4635 Nicols Rd Unit 104
Eagan, MN 55122-3337
Phone (651) 900-2210

Other practice location 2

700 Commerce Dr Ste 260
Woodbury, MN 55125-9243
Phone (651) 328-6280

Other names 1

  • Kristin Marie Dornfeld Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LBA0408MNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Behavioral Specialists Behavior Analyst CurrentSince Jan 1, 2023 Accepting new patients

Locations

4635 Nicols Rd
Ste 104
Saint Paul, MN 55122
Phone (612) 289-6480

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1215544531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 3RD ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285442",
            "telephone_number": "651-867-6684",
            "fax_number": "612-448-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 3RD ST N STE 150",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285442",
            "telephone_number": "651-867-6684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4635 Nicols Rd Unit 104",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551223337",
            "country_code": "US",
            "telephone_number": "651-900-2210",
            "fax_number": "612-900-2210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Commerce Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551259243",
            "country_code": "US",
            "telephone_number": "651-328-6280",
            "fax_number": "651-328-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINKE",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA0408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "DORNFELD",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.