Active NPI
Amy Kuretsky, L.AC, M.OM, DIPL.OM
- Acupuncturist
- Minneapolis, MN
National Provider Identifier
1063836906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1697
- Practice address
- 800 Lowry Ave NE
Minneapolis, MN 55418-3628 - Phone
- (612) 276-2695
- NPI assigned
- Feb 12, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 1697 | MN | Primary |
Addresses
Primary practice location
800 Lowry Ave NE
Minneapolis, MN 55418-3628
Mailing address
800 Lowry Ave NE
Minneapolis, MN 55418-3628
Phone (612) 276-2695
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 |
|---|---|---|---|
| 1697 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1063836906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 LOWRY AVE NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554183628",
"telephone_number": "612-276-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 LOWRY AVE NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554183628",
"telephone_number": "612-276-2695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURETSKY",
"first_name": "AMY",
"credential": "L.AC, M.OM, DIPL.OM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-12",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.