Christine Waehner-Larson, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1075 Issued in MN

Practice address

5770 W Bald Eagle Blvd
White Bear Lake, MN 55110-6440

Phone

(651) 429-9595

Fax

(651) 429-9595

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

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.

• East West Clinic

  • Acupuncturist
  • White Bear Lake, MN
  • NPI 1841367414
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174690671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 COLUMBUS AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171714",
            "telephone_number": "612-825-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 W BALD EAGLE BLVD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551106440",
            "telephone_number": "651-429-9595",
            "fax_number": "651-429-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAEHNER-LARSON",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HP ID NUMBER",
            "identifier": "HP22866",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Volkmann Chiropractic
• Jacob Volkmann, D.C.
• Nicole Christine Vorce, CCC-SLP
• Johnathan Gao Leng Vue
• Shamir Wade
• Tara Marie Wagner, DDS
• Walgreen Co (Walgreens #02769)
• Walgreen Co (Walgreens #03187)
• Walgreens
• Andrea Leigh Walker

• Acupuncturist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.