Individual provider Active NPI

Amy Marie Krause Reader, L. AC.

  • Acupuncturist
  • Saint Paul, MN
National Provider Identifier
1104012624
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1379 Issued in MN
Practice address
1158 Thomas Ave
Saint Paul, MN 55104-2165
Phone
(651) 398-8651
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1379 MN Primary

Addresses

Primary practice location

1158 Thomas Ave
Saint Paul, MN 55104-2165

Mailing address

525 Lakewood Dr S
Maplewood, MN 55119-5522
Phone (651) 735-0165

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

LicenseStateTypeSpecialty
1379MNMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1104012624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LAKEWOOD DR S",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551195522",
            "telephone_number": "651-735-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 THOMAS AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042165",
            "telephone_number": "651-398-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE READER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.