Active NPI
Synergy Health, LLC
- Health Service Clinic/Center
- Edina, MN
National Provider Identifier
1184951386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 1297
- Legal business name
- SYNERGY HEALTH, LLC
- Practice address
- 4820 West 77TH Street
Suite 145
Edina, MN 55435-4822 - Phone
- (952) 920-9830
- NPI assigned
- Nov 9, 2009
- Last updated
- Oct 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruth Eaton, RN, LAC
- Title
- Owner
- Phone
- (952) 920-9830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 1297 | MN | Primary |
Addresses
Primary practice location
4820 West 77TH Street
Suite 145
Edina, MN 55435-4822
Mailing address
4820 West 77TH Street
Suite 145
Edina, MN 55435-4822
Phone (952) 920-9830
National Provider Directory
National Provider DirectoryLocations
4820 77th St W
Ste 145
Edina, MN 55435
Phone (952) 920-9830
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Edina, MN
- NPI 1265580427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350864000000",
"number": "1184951386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 WEST 77TH STREET",
"address_2": "SUITE 145",
"city": "EDINA",
"state": "MN",
"postal_code": "554354822",
"telephone_number": "952-920-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 WEST 77TH STREET",
"address_2": "SUITE 145",
"city": "EDINA",
"state": "MN",
"postal_code": "554354822",
"telephone_number": "952-920-9830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-09",
"last_updated": "2012-10-22",
"status": "A",
"authorized_official_last_name": "EATON",
"authorized_official_first_name": "RUTH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-920-9830",
"authorized_official_credential": "RN, LAC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MN",
"license": "1297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.