Cassandra Anne Rose, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1878 Issued in MN

Practice address

3507 Lyndale Ave S
Minneapolis, MN 55408-4159

Phone

(612) 564-8714

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1104284348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084159",
            "telephone_number": "612-564-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084159",
            "telephone_number": "612-564-8714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7201 Cutting Blvd",
            "address_purpose": "LOCATION",
            "city": "El Cerrito",
            "state": "CA",
            "postal_code": "945301825",
            "country_code": "US",
            "telephone_number": "509-939-6314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CASSANDRA",
        "middle_name": "ANNE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16885",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrill Rosborough, MD
• Emily Kathleen Rosckes, APRN-CPNP
• Nicholas Rosculet, MD
• Rose Homecare Agency LLC
• Brian James Rose
• Eila Spano Rose, BCBA
• Elizabeth Rose, NP
• Heidi Rose, RN
• Teri Lynn Rose, MS, LN
• Susan D Roseberg, CNP

• All providers in Minneapolis, MN
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; 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.