Active NPI
Christopher Thomas Fast
- Behavior Analyst
- Rochester, MN
National Provider Identifier
1841834439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-44426
- Practice address
- 1470 Industrial Dr NW
Rochester, MN 55901-0700 - Phone
- (507) 353-3023
- NPI assigned
- Nov 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-44426 | MN | Primary |
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
1470 Industrial Dr NW
Rochester, MN 55901-0700
Mailing address
1470 Industrial Dr NW
Rochester, MN 55901-0700
Phone (507) 353-3023
Other practice location 1
3640 9th St NW
Rochester, MN 55901-6685
Phone (507) 424-3234
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Urey | Current | Accepting new patients | |
| Rochester Center for Children, LLC | Past | Accepting new patients |
Locations
1470 Industrial Dr NW
Rochester, MN 55901
Phone (507) 322-7750
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Technician
- Rochester, MN
- NPI 1922970706
-
- Early Intervention Provider Agency
- Rochester, MN
- NPI 1760832646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1841834439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 INDUSTRIAL DR NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559010700",
"telephone_number": "507-353-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 INDUSTRIAL DR NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559010700",
"telephone_number": "507-353-3023"
}
],
"practiceLocations": [
{
"address_1": "3640 9th St NW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559016685",
"country_code": "US",
"telephone_number": "507-424-3234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAST",
"first_name": "CHRISTOPHER",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-06",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MN",
"license": "1-20-44426",
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.