Active NPI
Jenna Niggeler, L.AC
- Acupuncturist
- Brainerd, MN
National Provider Identifier
1124420179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1746
- Practice address
- 1001 Kingwood St Ste 119a
Brainerd, MN 56401 - Phone
- (218) 831-9190
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- No
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.
-
- General Practice Physician
- Baxter, MN
- NPI 1740708411
-
- Chiropractor
- Baxter, MN
- NPI 1013273416
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 |
|---|---|---|---|
| 1746 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aim-Axness Integrative Medicine, PLLC | Past | Accepting new patients | |
| Axness Chiropractic PLLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1746 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1001 Kingwood St Ste 119a
Brainerd, MN 56401
Mailing address
14713 Inglewood Dr
Baxter, MN 56425-8522
Phone (218) 831-9190
Other practice location 1
7350 Clearwater Rd
Baxter, MN 56425-8463
Phone (218) 454-5050
Other practice location 2
1700 Steiger Lake lane
103
victoria, MN 55386
Phone (218) 831-9190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2019.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1124420179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14713 INGLEWOOD DR",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258522",
"telephone_number": "218-831-9190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 KINGWOOD ST STE 119A",
"city": "BRAINERD",
"state": "MN",
"postal_code": "56401",
"telephone_number": "218-831-9190"
}
],
"practiceLocations": [
{
"address_1": "7350 Clearwater Rd",
"address_purpose": "LOCATION",
"city": "Baxter",
"state": "MN",
"postal_code": "564258463",
"country_code": "US",
"telephone_number": "218-454-5050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Steiger Lake lane",
"address_2": "103",
"address_purpose": "LOCATION",
"city": "victoria",
"state": "MN",
"postal_code": "55386",
"country_code": "US",
"telephone_number": "218-831-9190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIGGELER",
"first_name": "JENNA",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.