Active NPI
Kathleen Gail Rajek, LPN, CST, CFA
- Surgical Technologist
- Edina, MN
National Provider Identifier
1518019389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- L0214605
- Practice address
- 6405 France Ave S Ste W400
Edina, MN 55435-2192 - Phone
- (952) 920-2730
- Fax
- (763) 383-2134
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | L0214605 | MN | Primary |
Addresses
Primary practice location
6405 France Ave S Ste W400
Edina, MN 55435-2192
Mailing address
6405 France Ave S Ste W400
Edina, MN 55435-2192
Phone (952) 920-2730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89A15RA | Other | MN | BCBS |
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 |
|---|---|---|---|
| L0214605 | MN | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518019389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 FRANCE AVE S STE W400",
"city": "EDINA",
"state": "MN",
"postal_code": "554352192",
"telephone_number": "952-920-2730",
"fax_number": "763-383-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 FRANCE AVE S STE W400",
"city": "EDINA",
"state": "MN",
"postal_code": "554352192",
"telephone_number": "952-920-2730",
"fax_number": "763-383-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJEK",
"first_name": "KATHLEEN",
"middle_name": "GAIL",
"credential": "LPN, CST, CFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "MN",
"license": "L0214605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89A15RA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.