Kristin M Fellows, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4526 Issued in MN

Practice address

1590 Thomas Center Dr Ste 110
Eagan, MN 55122-2578

Phone

(651) 209-9710

NPI assigned

Feb 27, 2007

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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cornerstone Family Chiropractic, PLLC

  • Chiropractor
  • Eagan, MN
  • NPI 1487848719
  Medicare reassignment NPD Authorized official
• Chiropractic Wellness Innovations PLLC

  • Chiropractor
  • Eagan, MN
  • NPI 1427204650
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256428800000",
    "number": "1891822698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 THOMAS CENTER DR STE 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222578",
            "telephone_number": "651-209-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 THOMAS CENTER DR STE 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222578",
            "telephone_number": "651-209-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anab Ali Farah
• Deqa Abdulqadir Farah, RDN
• Fardosa Farah
• Ramla Hallane Farah
• Ann Clara Fasching
• Felten Chiropractic PA
• Anthony Mark Felten, D.C.
• Laura Fay Felty, CMT
• Chayla Fenske, BA
• Derek Ferebee, PT, DPT, CSCS

• Chiropractor in Eagan, MN
• Providers in Eagan, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.