Active NPI
Kristine Carrie Kvistberg Becker, ATC
- Athletic Trainer
- Shakopee, MN
National Provider Identifier
1871587162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1378
- Practice address
- 1280 Disc Dr
Shakopee, MN 55379-1863 - Phone
- (952) 402-3480
- NPI assigned
- Sep 1, 2005
- 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 | 1378 | MN | Primary |
Addresses
Primary practice location
1280 Disc Dr
Shakopee, MN 55379-1863
Mailing address
5144 38TH Ave S
Minneapolis, MN 55417-1650
Phone (612) 721-6295
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 |
|---|---|---|---|
| 1378 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871587162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5144 38TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554171650",
"telephone_number": "612-721-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 DISC DR",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553791863",
"telephone_number": "952-402-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KVISTBERG BECKER",
"first_name": "KRISTINE",
"middle_name": "CARRIE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "1378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.