Active NPI
Lauren Kijewski
- Athletic Trainer
- Saint Paul, MN
National Provider Identifier
1609279157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2609
- Practice address
- 1600 University Ave W
Suite 10
Saint Paul, MN 55104-3898 - Phone
- (651) 646-7246
- Fax
- (651) 641-0726
- NPI assigned
- Sep 29, 2014
- Last updated
- Sep 29, 2014
- 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 | 2609 | MN | Primary |
Addresses
Primary practice location
1600 University Ave W
Suite 10
Saint Paul, MN 55104-3898
Mailing address
1600 University Ave W
Suite 10
Saint Paul, MN 55104-3898
Phone (651) 646-7246
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 |
|---|---|---|---|
| 2609 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1609279157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 UNIVERSITY AVE W",
"address_2": "SUITE 10",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043898",
"telephone_number": "651-646-7246",
"fax_number": "651-641-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 UNIVERSITY AVE W",
"address_2": "SUITE 10",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043898",
"telephone_number": "651-646-7246",
"fax_number": "651-641-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIJEWSKI",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-29",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2609",
"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 Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.