Kierstin Rebecca Mergens, LAT, ATC

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

0488 Issued in SD

Practice address

1101 North Dakota Street
Vermillion, SD 57069

Phone

(605) 658-5537

NPI assigned

Oct 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kierstin Rebecca Streff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1588116073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 STANFORD ST LOT 19",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691716",
            "telephone_number": "817-637-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NORTH DAKOTA STREET",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "57069",
            "telephone_number": "605-658-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERGENS",
        "first_name": "KIERSTIN",
        "middle_name": "REBECCA",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "SD",
            "license": "0488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIERSTIN",
            "last_name": "STREFF",
            "middle_name": "REBECCA",
            "credential": "LAT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trevor Mandernach, MA
• Marni Lynn Johnson Martin, AU.D.
• Heather P McFarland, CCC-SLP
• Bradly McGinnis
• Duane C Mehlhaf, DC
• Jessica J Messersmith, PH.D., CCC-A
• Catherine Mitchel, MD
• Ryan Bradley Molencamp, DPT
• Kristen Rae Morrow, CNP
• Roy L Mortinsen, M.D.

• Health Educator in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Health Educator in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.