Individual provider Active NPI

Rachel Simone Nudd, L.AC., DIPL. O.M.

  • Acupuncturist
  • Saint Francis, MN
National Provider Identifier
1225373483
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1594 Issued in MN
Practice address
23624 Saint Francis Blvd NW
Suite 1
Saint Francis, MN 55070-5500
Phone
(612) 516-4386
NPI assigned
Nov 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1594 MN Primary

Addresses

Primary practice location

23624 Saint Francis Blvd NW
Suite 1
Saint Francis, MN 55070-5500

Mailing address

2365 Lake George Dr NW
Cedar, MN 55011-4216
Phone (612) 516-4386

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

LicenseStateTypeSpecialty
1594MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
White Oak Acupuncture LLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1225373483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 LAKE GEORGE DR NW",
            "city": "CEDAR",
            "state": "MN",
            "postal_code": "550114216",
            "telephone_number": "612-516-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23624 SAINT FRANCIS BLVD NW",
            "address_2": "SUITE 1",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550705500",
            "telephone_number": "612-516-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUDD",
        "first_name": "RACHEL",
        "middle_name": "SIMONE",
        "name_prefix": "Mrs.",
        "credential": "L.AC., DIPL. O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.