Active NPI
Steve Patterson, MS, ATC
- Athletic Trainer
- Minneapolis, MN
National Provider Identifier
1609889609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2045
- Practice address
- 516 15TH Ave SE
Bfab Room 190
Minneapolis, MN 55455-0130 - Phone
- (612) 626-4688
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2045 | MN | Primary |
Addresses
Primary practice location
516 15TH Ave SE
Bfab Room 190
Minneapolis, MN 55455-0130
Mailing address
7383 Derby LN
Shakopee, MN 55379-7031
Phone (612) 626-4688
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1609889609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7383 DERBY LN",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553797031",
"telephone_number": "612-626-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 15TH AVE SE",
"address_2": "BFAB ROOM 190",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550130",
"telephone_number": "612-626-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "STEVE",
"name_prefix": "Mr.",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.