Katherine Mary Pellant Kaufman, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1744 Issued in MN

Practice address

6363 France Ave S
Suite 525
Edina, MN 55435-2129

Phone

(952) 926-6489

NPI assigned

Apr 10, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Edina Sports Health & Wellness, PA

  • Family Medicine Physician
  • Edina, MN
  • NPI 1215010335
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992828198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 ALBERT ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 FRANCE AVE S",
            "address_2": "SUITE 525",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352129",
            "telephone_number": "952-926-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLANT KAUFMAN",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortney Pederson, MSW LICSW
• Erin Therese Pederson, CNP, FNP-C
• Lane Daniel Pederson, PSYD LP
• Pediatric Neuropsychology Services, P.C.
• Douglas Pelcak, MA
• Avi Mae Pelly, RDN
• Kyra Marie Peloquin, PT, DPT
• Stephen Peltier, D.C.
• Heidi Peluf, COTA/L
• Nicole Peluso, CNP

• Athletic Trainer in Edina, MN
• Providers in Edina, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.