Active NPI
Jennifer A. Chelton, ATC
- Athletic Trainer
- Minneapolis, MN
National Provider Identifier
1972553659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1619
- Practice address
- 516 15TH Ave SE
Minneapolis, MN 55455-0120 - Phone
- (612) 625-6864
- NPI assigned
- May 11, 2006
- 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 | 1619 | MN | Primary |
Addresses
Primary practice location
516 15TH Ave SE
Minneapolis, MN 55455-0120
Mailing address
6720 Markwood Dr N
Crystal, MN 55427-1533
Phone (612) 625-6864
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 |
|---|---|---|---|
| 1619 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972553659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 MARKWOOD DR N",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554271533",
"telephone_number": "612-625-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 15TH AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550120",
"telephone_number": "612-625-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELTON",
"first_name": "JENNIFER",
"middle_name": "A.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "1619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.