Sophia Bouwens, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1739 Issued in MN

Practice address

275 Market St Ste 409
Minneapolis, MN 55405

Phone

(651) 675-6166

NPI assigned

Dec 29, 2015

Last updated

Jul 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Traditional Roots Healthcare

  • Acupuncturist
  • Saint Paul, MN
  • NPI 1215385042
  NPD (past)
• Traditional Roots Healthcare

  • Acupuncturist
  • Saint Paul, MN
  • NPI 1295108819
  NPD (past)

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1154786523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 LAWSON AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063327",
            "telephone_number": "651-675-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MARKET ST STE 409",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55405",
            "telephone_number": "651-675-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Dunlap St N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551046405",
            "country_code": "US",
            "telephone_number": "651-447-2196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 Phalen Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551302400",
            "country_code": "US",
            "telephone_number": "651-254-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUWENS",
        "first_name": "SOPHIA",
        "name_prefix": "Mrs.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Bourgerie, M.A., L.P.
• Lindsey Bourlier
• Joseph E Bousaba
• Ryan Bouslog, DPT
• Bouchra Boussaid
• John F Bowar, MD
• Rebecka Bowar
• Amy Marie Bowder, LSW
• Andrew Bowen, M.D.
• Joanna Lynn Bowen

• Acupuncturist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.