Individual provider Active NPI

Kristen Fosness, ATC

  • Athletic Trainer
  • Golden Valley, MN
National Provider Identifier
1902514847
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2638 Issued in MN
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

Updated by the provider on Nov 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2638MNMDFamily 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.

Verify at the official NPI Registry.