Active NPI
Kirsten Ann Chamberlin
- Physical Medicine & Rehabilitation Physician
- Bloomington, MN
National Provider Identifier
1558098350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 12277
- Practice address
- 8100 Highwood Dr
Bloomington, MN 55438-1006 - Phone
- (952) 831-7500
- NPI assigned
- Aug 2, 2022
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 12277 | MN | Primary |
Addresses
Primary practice location
8100 Highwood Dr
Bloomington, MN 55438-1006
Mailing address
1317 5TH St
Saint Paul Park, MN 55071-1633
Phone (218) 451-0445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12277 | Other | MN | MN BOARD OF PHYSICAL THERAPY |
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 |
|---|---|---|---|
| 12277 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1558098350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 5TH ST",
"city": "SAINT PAUL PARK",
"state": "MN",
"postal_code": "550711633",
"telephone_number": "218-451-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 HIGHWOOD DR",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554381006",
"telephone_number": "952-831-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLIN",
"first_name": "KIRSTEN",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MN",
"license": "12277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BOARD OF PHYSICAL THERAPY",
"identifier": "12277",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}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 Aug 2, 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.