Active NPI
Robin Rachel Harstad, D.C.
- Chiropractor
- Coon Rapids, MN
National Provider Identifier
1881732451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 003258
- Practice address
- 1425 Coon Rapids Blvd NW
Suite 200
Coon Rapids, MN 55433-5386 - Phone
- (612) 802-2580
- Fax
- (763) 755-4600
- NPI assigned
- Feb 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 003258 | MN | Primary |
Addresses
Primary practice location
1425 Coon Rapids Blvd NW
Suite 200
Coon Rapids, MN 55433-5386
Mailing address
1425 Coon Rapids Blvd NW
Suite 200
Coon Rapids, MN 55433-5386
Phone (612) 802-2580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050608000958 | MN | Practitioner - Chiropractic | 1557304763 | Practice locations: Coon Rapids, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1635 Coon Rapids Blvd NW
Suite 150
Coon Rapids, MN 55433-4779
Phone (612) 802-2580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003258 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1881732451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 COON RAPIDS BLVD NW",
"address_2": "SUITE 200",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335386",
"telephone_number": "612-802-2580",
"fax_number": "763-755-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 COON RAPIDS BLVD NW",
"address_2": "SUITE 200",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335386",
"telephone_number": "612-802-2580",
"fax_number": "763-755-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARSTAD",
"first_name": "ROBIN",
"middle_name": "RACHEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "003258",
"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 Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.