Active NPI
Louise Kervin, L.AC.
- Acupuncturist
- Isanti, MN
National Provider Identifier
1174067680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1624
- Practice address
- 300 5TH Ave N
Isanti, MN 55040-7480 - Phone
- (763) 688-9700
- NPI assigned
- Dec 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1624 | MN | Primary |
Addresses
Primary practice location
300 5TH Ave N
Isanti, MN 55040-7480
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other practice location 1
2714 Highway 88
Saint Anthony, MN 55418-3266
Phone (612) 873-6963
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courage Center | Past | Accepting new patients | |
| Hennepin Faculty Associates | Past | Accepting new patients |
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Golden Valley, MN
- NPI 1992795280
-
- General Practice Physician
- Minneapolis, MN
- NPI 1063459485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1174067680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 5TH AVE N",
"city": "ISANTI",
"state": "MN",
"postal_code": "550407480",
"telephone_number": "763-688-9700"
}
],
"practiceLocations": [
{
"address_1": "2714 Highway 88",
"address_purpose": "LOCATION",
"city": "Saint Anthony",
"state": "MN",
"postal_code": "554183266",
"country_code": "US",
"telephone_number": "612-873-6963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERVIN",
"first_name": "LOUISE",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-19",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isanti, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.