Individual provider Active NPI

Cassandra M Calendine, LAC

  • Acupuncturist
  • Coon Rapids, MN
National Provider Identifier
1114629615
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1990 Issued in MN
Practice address
11417 Hanson Blvd NW
Suite 101
Coon Rapids, MN 55433
Phone
(763) 754-1482
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1990 MN Primary

Addresses

Primary practice location

11417 Hanson Blvd NW
Suite 101
Coon Rapids, MN 55433

Mailing address

14738 Waco St NW
Ramsey, MN 55303
Phone (740) 624-1120

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
1990MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas W. Miller D.C., Inc. CurrentSince Mar 26, 2023 Accepting new patients
Shanna C Miller, DC PLLC CurrentSince Mar 26, 2023 Accepting new patients

Locations

11417 Hanson Blvd NW
Ste 101
Minneapolis, MN 55433
Phone (763) 754-1482

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1114629615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14738 WACO ST NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "55303",
            "telephone_number": "740-624-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 HANSON BLVD NW",
            "address_2": "SUITE 101",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-754-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALENDINE",
        "first_name": "CASSANDRA",
        "middle_name": "M",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.