Active NPI
Kristen Marie Hager, D.C.
- Chiropractor
- Shakopee, MN
National Provider Identifier
1396927315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5024
- Practice address
- 4201 Dean Lakes Blvd Ste 140
Shakopee, MN 55379-2850 - Phone
- (952) 402-9355
- NPI assigned
- Nov 30, 2007
- Last updated
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5024 | MN | Primary |
Addresses
Primary practice location
4201 Dean Lakes Blvd Ste 140
Shakopee, MN 55379-2850
Mailing address
2124 Winterberry LN
Shakopee, MN 55379-5901
Phone (612) 701-8803
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5024 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Healthcare Services Golden Valley PA | Chiropractor | Past | Accepting new patients |
| Eagle Creek Chiropractic | Past | Accepting new patients | |
| Hartley Chiropractic Wellness Center, LLC | Chiropractor | Past | Accepting new patients |
| Care Chiropractic Body Wellness Center, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Eagan, MN
- NPI 1891904793
-
- Physical Therapist
- Prior Lake, MN
- NPI 1073847554
-
- Chiropractor
- Eagan, MN
- NPI 1417431610
-
- Chiropractor
- Wayzata, MN
- NPI 1013157288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1396927315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 WINTERBERRY LN",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553795901",
"telephone_number": "612-701-8803",
"fax_number": "612-701-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 DEAN LAKES BLVD STE 140",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553792850",
"telephone_number": "952-402-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGER",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.