Jennifer Yun Johnson, LIC. AC., MAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1312 Issued in MN

Practice address

4200 Minnetonka Blvd
St Louis Park, MN 55416-5191

Phone

(952) 345-1953

NPI assigned

Oct 6, 2008

Last updated

Oct 6, 2008By 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 names 1

• Jennifer Yun Noetzli Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1235380569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MINNETONKA BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165191",
            "telephone_number": "952-345-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MINNETONKA BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165191",
            "telephone_number": "952-345-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "YUN",
        "credential": "LIC. AC., MAOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NOETZLI",
            "middle_name": "YUN",
            "credential": "LIC.AC., MAOM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Johnson, MD
• Elizabeth M Johnson, OD
• Elliot Mohr Johnson, MD
• Heather J Johnson, PSYD
• Jeffrey Randall Johnson, MD
• Jodie Johnson
• Julia Anne Johnson, P.T.
• Kaisa L Johnson, C.N.M.
• Kania Mae Johnson
• Kara Montgomery Johnson, LMFT, MSE, MED

• Acupuncturist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.