Active NPI
Kristen Fosness, ATC
- Athletic Trainer
- Golden Valley, MN
National Provider Identifier
1902514847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2638
- Practice address
- 4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841 - Phone
- (612) 803-9790
- NPI assigned
- Nov 9, 2022
- 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 | 2638 | MN | Primary |
Addresses
Primary practice location
4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Mailing address
7801 Colfax Ave N
Brooklyn Park, MN 55444-2153
Phone (612) 803-9790
Other practice location 1
3100 W River Pkwy
Minneapolis, MN 55406-1843
Phone (612) 803-9790
Other practice location 2
14101 Fairview Dr Ste 300
Burnsville, MN 55337-2537
Phone (612) 803-9790
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 |
|---|---|---|---|
| 2638 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1902514847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 COLFAX AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554442153",
"telephone_number": "612-803-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 DAHLBERG DR STE 300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224841",
"telephone_number": "612-803-9790"
}
],
"practiceLocations": [
{
"address_1": "3100 W River Pkwy",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554061843",
"country_code": "US",
"telephone_number": "612-803-9790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14101 Fairview Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553372537",
"country_code": "US",
"telephone_number": "612-803-9790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOSNESS",
"first_name": "KRISTEN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.