Active NPI
Minnesota Integrative Medicine & Acupuncture LLC
- Acupuncturist
- Coon Rapids, MN
National Provider Identifier
1033703244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- MINNESOTA INTEGRATIVE MEDICINE & ACUPUNCTURE LLC
- Practice address
- 3818 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2517 - Phone
- (651) 272-7998
- NPI assigned
- Feb 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kierstin Leigh Olson, L.AC , MSOM
- Title
- Owner/Licensed Acupuncturist
- Phone
- (651) 329-6815
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
3818 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2517
Mailing address
4169 Rustic PL
Shoreview, MN 55126-6250
Phone (651) 329-6815
National Provider Directory
National Provider DirectoryLocations
3818 Coon Rapids Blvd NW
Coon Rapids, MN 55433
Phone (651) 272-7998
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- St Louis Park, MN
- NPI 1265916811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614470400000",
"number": "1033703244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4169 RUSTIC PL",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551266250",
"telephone_number": "651-329-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3818 COON RAPIDS BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554332517",
"telephone_number": "651-272-7998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNESOTA INTEGRATIVE MEDICINE & ACUPUNCTURE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-28",
"last_updated": "2021-02-28",
"certification_date": "2021-02-28",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "KIERSTIN",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "OWNER/LICENSED ACUPUNCTURIST",
"authorized_official_telephone_number": "651-329-6815",
"authorized_official_credential": "L.AC , MSOM"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
- Trinity Anastia Milton
- Michael X Min, M.D.
- Mind Health Services LLC
- Minneapolis Senior Services, Inc.
- Minnesota Dental Professionals, P.C.
- Minnesota Neurosurgical Trauma Associates, PLLC
- Minnesota Oncology Hematology PA
- Minnesota Oncology Hematology, PA
- Minnesota Oncology Hematology, PA
- Minnesota Oncology Hematology, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.