Katie Marie Moksnes Bowman, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC155869 Issued in OR

Practice address

34 Water St
Suite B
Excelsior, MN 55331-1846

Phone

(612) 501-7171

NPI assigned

Feb 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Marie Moksnes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1043582828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WATER ST",
            "address_2": "SUITE B",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311846",
            "telephone_number": "612-501-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WATER ST",
            "address_2": "SUITE B",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311846",
            "telephone_number": "612-501-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "KATIE",
        "middle_name": "MARIE MOKSNES",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC155869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MOKSNES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael George Block, M.S, , PH.D.
• Bluefield, LLC
• Susan Kenney Bonnema
• Teresa Lynn Bosacker, NP
• Andrew Jon Bosworth, D.D.S.
• Daniel Brandon, PT, DPT, ATC
• Annika Cameron
• Camp Smile Orthodontics Excelsior PLLC
• Camp Smile Pediatric Dentistry Excelsior PLLC
• Capricious Corporation

• All providers in Excelsior, MN
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.