Organization Active NPI

Minnesota Integrative Medicine & Acupuncture LLC

  • Acupuncturist
  • Coon Rapids, MN
National Provider Identifier
1033703244
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
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

Updated by the provider on Feb 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kierstin Leigh Olson, L.AC , MSOMNPI 1265916811
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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.