Active NPI
Marie Christensen, MD
- Plastic Surgery Physician
- St Louis Park, MN
National Provider Identifier
1922086859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 25971
- Practice address
- 3900 Park Nicollet Blvd
St Louis Park, MN 55416-2503 - Phone
- (952) 993-3504
- NPI assigned
- Dec 30, 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 25971 | MN | Primary |
Addresses
Primary practice location
3900 Park Nicollet Blvd
St Louis Park, MN 55416-2503
Mailing address
3800 Park Nicollet Blvd
Credentialing
St Louis Park, MN 55416-2527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43802200 | Medicaid | MN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1922086859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 PARK NICOLLET BLVD",
"address_2": "CREDENTIALING",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 PARK NICOLLET BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162503",
"telephone_number": "952-993-3504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MN",
"license": "25971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43802200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
- Ashley Chouinard, LDH
- Christopher Jen-Hung Chow, MD
- Dane Robert Christensen, MD
- Katelyn Marie Christensen
- Lisa Kathryn Christensen, P.T.
- Robert D Christensen, MD
- Tayler Joseph Christensen, BA, GRADUATE STUDENT
- Irene Duong Hien Minh Christenson, M.A. CCC-SLP
- Nathan L Christenson, NP
- Kristin Kay Christiansen, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.