Individual provider Active NPI

Kristi Testin

  • Pharmacist
  • Roseville, MN
National Provider Identifier
1467005371
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
122899 Issued in MN
Practice address
3101 Old Highway 8 Ste 203B
Roseville, MN 55113-1077
Phone
(612) 326-9225
Fax
(651) 400-7989
NPI assigned
Jul 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 122899 MN Primary

Addresses

Primary practice location

3101 Old Highway 8 Ste 203B
Roseville, MN 55113-1077

Mailing address

3101 Old Highway 8 Ste 203B
Roseville, MN 55113-1077
Phone (612) 326-9225

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

LicenseStateTypeSpecialty
122899MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Genoa Healthcare LLC CurrentSince May 1, 2023 Accepting new patients
Genoa Healthcare LLC PastSince Jul 25, 2019 Accepting new patients

Locations

3101 Old Highway 8
Ste 203B
Roseville, MN 55113
Phone (612) 326-9225

Organizations & group practices 2

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1467005371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 OLD HIGHWAY 8 STE 203B",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131077",
            "telephone_number": "612-326-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OLD HIGHWAY 8 STE 203B",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131077",
            "telephone_number": "612-326-9225",
            "fax_number": "651-400-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTIN",
        "first_name": "KRISTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "122899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.