Active NPI
Kelsey Hansen, ATC
- Athletic Trainer
- Winona, MN
National Provider Identifier
1225565146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2534
- Practice address
- 139 Memorial Hall
Winona, MN 55987-5598 - Phone
- (605) 770-7364
- Fax
- (605) 770-7364
- NPI assigned
- May 23, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2534 | MN | Primary |
Addresses
Primary practice location
139 Memorial Hall
Winona, MN 55987-5598
Mailing address
4960 Service Dr Apt 102
Goodview, MN 55987-1666
Phone (605) 770-7364
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 |
|---|---|---|---|
| 2534 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495497600000",
"number": "1225565146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4960 SERVICE DR APT 102",
"city": "GOODVIEW",
"state": "MN",
"postal_code": "559871666",
"telephone_number": "605-770-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 MEMORIAL HALL",
"city": "WINONA",
"state": "MN",
"postal_code": "559875598",
"telephone_number": "605-770-7364",
"fax_number": "605-770-7364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "KELSEY",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2017-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.