Active NPI
Dona McGlennen, L.AC.
- Acupuncturist
- Roseville, MN
National Provider Identifier
1013981661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1521
- Practice address
- 1024 Parker Ave
2201 Lexington Ave. No.
Roseville, MN 55113-6459 - Phone
- (612) 432-3014
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1521 | MN | Primary |
Addresses
Primary practice location
1024 Parker Ave
2201 Lexington Ave. No.
Roseville, MN 55113-6459
Mailing address
1024 Parker Ave
2201 Lexington Ave. No.
Roseville, MN 55113-6459
Phone (612) 432-3014
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 |
|---|---|---|---|
| 1521 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1013981661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 PARKER AVE",
"address_2": "2201 LEXINGTON AVE. NO.",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551136459",
"telephone_number": "612-432-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 PARKER AVE",
"address_2": "2201 LEXINGTON AVE. NO.",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551136459",
"telephone_number": "612-432-3014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLENNEN",
"first_name": "DONA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.