Active NPI
Robert Zelesnikar, ATC
- Athletic Trainer
- Saint Paul, MN
National Provider Identifier
1497113377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2349
- Practice address
- 2115 Summit Ave
Arc 117E
Saint Paul, MN 55105-1048 - Phone
- (612) 703-5142
- NPI assigned
- Feb 5, 2016
- Sex
- Male
- 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 | 2349 | MN | Primary |
Addresses
Primary practice location
2115 Summit Ave
Arc 117E
Saint Paul, MN 55105-1048
Mailing address
4200 Dahlberg Dr
#300
Golden Valley, MN 55422-4840
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 |
|---|---|---|---|
| 2349 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1497113377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 DAHLBERG DR",
"address_2": "#300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 SUMMIT AVE",
"address_2": "ARC 117E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551051048",
"telephone_number": "612-703-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELESNIKAR",
"first_name": "ROBERT",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-05",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.