Jessica Leah Sunsdahl, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1560 Issued in MN

Practice address

203 Cooper Ave North
Suite 160
Saint Cloud, MN 56303

Phone

(320) 493-8278

Fax

(866) 990-2971

NPI assigned

May 23, 2011

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

Other names 1

• Jessica Rolfes Former name

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.

• Willow Tree Acupuncture LLC

  • Acupuncturist
  • St. Cloud, MN
  • NPI 1306406947
  NPD (past) Authorized official

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1043503154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COOPER AVE NORTH",
            "address_2": "SUITE 160",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-493-8278",
            "fax_number": "866-990-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COOPER AVE NORTH",
            "address_2": "SUITE 160",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-493-8278",
            "fax_number": "866-990-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNSDAHL",
        "first_name": "JESSICA",
        "middle_name": "LEAH",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROLFES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evelyn Sullivan
• Ann Michelle Summar, CNP
• Sylvia R Sundberg, MD PHD
• Tabitha Jean Sundet, LPN
• Sunrise Adult Daycare Center Inc
• Sunshine Care Services Inc
• Sunshine Health Care Services LLC
• Elizabeth Baraga Super, PHD LP
• Jane Marie Suska, APRN CNP
• Molly K Sveum, MS LADC LMFT

• Acupuncturist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.