Individual provider Active NPI

Kirsten Marie Koos, M.D., M.P.H.

  • Occupational Medicine Physician
  • Bloomington, MN
National Provider Identifier
1508048133
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
44221 Issued in MN
Practice address
8500 Normandale Lake Blvd
Bloomington, MN 55437-3813
Phone
(952) 893-0403
Fax
(952) 893-3700
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 44221 MN Primary

Addresses

Primary practice location

8500 Normandale Lake Blvd
Bloomington, MN 55437-3813

Mailing address

12515 Royal Point CT NE
Albuquerque, NM 87111-7708
Phone (612) 310-4768

Other names 1

  • Dr. Kirsten Marie McGrail Former name

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
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1508048133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12515 ROYAL POINT CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117708",
            "telephone_number": "612-310-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 NORMANDALE LAKE BLVD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373813",
            "telephone_number": "952-893-0403",
            "fax_number": "952-893-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOS",
        "first_name": "KIRSTEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MN",
            "license": "44221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "MCGRAIL",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.