Kaitlin Renee Battaglia, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5446 Issued in MN

Practice address

5250 W 74TH St Ste 8
Edina, MN 55439-2229

Phone

(612) 562-8656

NPI assigned

Jan 6, 2011

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kaitlin Renee Blank Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1790089654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W 74TH ST STE 8",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392229",
            "telephone_number": "612-562-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W 74TH ST STE 8",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392229",
            "telephone_number": "612-562-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTAGLIA",
        "first_name": "KAITLIN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "5446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "BLANK",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ayaan Muhammad Bashi Sr.
• April Batcheller, MD
• Beau Macmillan Bates, DC
• Davis Bates, DC
• Nicholas Peter Batinich, PHARMD
• Stephen Battista, M.D.
• Cara Battles, DPT, OCS
• Ashley Bauch, LADC, LPCC
• Anne Bauers, LMFT
• Benjamin Maupin Baumann, PA-C

• Sports Physician Chiropractor in Edina, MN
• Providers in Edina, MN by specialty
• Sports Physician Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.