Active NPI
Amy Gilbertson, ATC
- Athletic Trainer
- Saint Paul, MN
National Provider Identifier
1568422244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2115 Summit Ave
Ste 5003
Saint Paul, MN 55105-1048 - Phone
- (952) 300-0697
- Fax
- (651) 962-5981
- NPI assigned
- Mar 25, 2006
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
2115 Summit Ave
Ste 5003
Saint Paul, MN 55105-1048
Mailing address
12944 2ND Ave S
Burnsville, MN 55337-3503
Phone (715) 523-1626
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1568422244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12944 2ND AVE S",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553373503",
"telephone_number": "715-523-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 SUMMIT AVE",
"address_2": "STE 5003",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551051048",
"telephone_number": "952-300-0697",
"fax_number": "651-962-5981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERTSON",
"first_name": "AMY",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-25",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"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 Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.