Active NPI
Adam Setten, ATC
- Athletic Trainer
- Coon Rapids, MN
National Provider Identifier
1619312964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2109
- Practice address
- 2104 Northdale Blvd NW Ste 100
Coon Rapids, MN 55433-3045 - Phone
- (763) 755-5495
- NPI assigned
- Apr 30, 2013
- 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 | 2109 | MN | Primary |
Addresses
Primary practice location
2104 Northdale Blvd NW Ste 100
Coon Rapids, MN 55433-3045
Mailing address
4601 64TH Ave N
Brooklyn Center, MN 55429-2104
Phone (612) 801-5759
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 |
|---|---|---|---|
| 2109 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1619312964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 64TH AVE N",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554292104",
"telephone_number": "612-801-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 NORTHDALE BLVD NW STE 100",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333045",
"telephone_number": "763-755-5495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETTEN",
"first_name": "ADAM",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-30",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.