Individual provider Active NPI

Batya Barbara Kleen

  • Acupuncturist
  • St Louis Park, MN
National Provider Identifier
1114655461
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U03099 Issued in MD
Practice address
2817 Colorado Ave S
St Louis Park, MN 55416-1826
Phone
(303) 907-8656
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U03099 MD Primary

Addresses

Primary practice location

2817 Colorado Ave S
St Louis Park, MN 55416-1826

Mailing address

2817 Colorado Ave S
Saint Louis Park, MN 55416-1826
Phone (303) 907-8656

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Eclipse

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
U03099MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Knewtson Family Chiropractic PA CurrentSince Aug 1, 2022 Accepting new patients

Locations

23505 Smithtown Rd
Shorewood, MN 55331
Phone (952) 470-8555

Organizations & group practices 1

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1114655461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 COLORADO AVE S",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161826",
            "telephone_number": "303-907-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 COLORADO AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161826",
            "telephone_number": "303-907-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEEN",
        "first_name": "BATYA",
        "middle_name": "BARBARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U03099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Eclipse",
            "affiliation": "N",
            "address_1": "23505 Smithtown Rd",
            "city": "Excelsior",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553314541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.