Individual provider Active NPI

Andrew Cohorst, ATC

  • Athletic Trainer
  • Minneapolis, MN
National Provider Identifier
1417354937
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2594 Issued in MN
Practice address
516 15TH Ave SE
Room 190
Minneapolis, MN 55455-0130
Phone
(217) 821-6798
NPI assigned
Nov 26, 2014
Last updated
Nov 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2594 MN Primary

Addresses

Primary practice location

516 15TH Ave SE
Room 190
Minneapolis, MN 55455-0130

Mailing address

2432 1St Ave S Apt 103
Minneapolis, MN 55404-3422
Phone (217) 821-6798

Other identifiers 2

IdentifierTypeStateIssuer
2000012094OtherNATA BOC
2594OtherMNMINNESOTA BOARD OF MEDICAL PRACTICE REGISTRATION NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1417354937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 1ST AVE S APT 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043422",
            "telephone_number": "217-821-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 15TH AVE SE",
            "address_2": "ROOM 190",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550130",
            "telephone_number": "217-821-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHORST",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA BOC",
            "identifier": "2000012094",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF MEDICAL PRACTICE REGISTRATION NUMBER",
            "identifier": "2594",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.