Active NPI
Katherine Elizabeth Fleming, DAOM, L.AC.
- Acupuncturist
- Woodbury, MN
National Provider Identifier
1235649583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1906
- Practice address
- 1687 Woodlane Dr Ste 102
Woodbury, MN 55125-3046 - Phone
- (651) 600-3035
- NPI assigned
- Oct 1, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 1906 | MN | Primary |
Addresses
Primary practice location
1687 Woodlane Dr Ste 102
Woodbury, MN 55125-3046
Mailing address
1687 Woodlane Dr Ste 102
Woodbury, MN 55125-3046
Phone (651) 600-3035
Other names 1
- Katherine Elizabeth Kronisch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 95590
South Jordan, UT 84095
PO Box
Suite 95590
South Jordan, UT 84095-0590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1906 | MN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Healthcare for Women, PA | Past | Accepting new patients | |
| Selby Acupuncture, LLC | Acupuncturist | Past | Accepting new patients |
| Minnesota Women'S Care, P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FAHCDA
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Woodbury, MN
- NPI 1841235595
-
- Obstetrics & Gynecology Physician
- Maplwood, MN
- NPI 1518221779
-
- Acupuncturist
- Saint Paul, MN
- NPI 1740422062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1235649583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1687 WOODLANE DR STE 102",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253046",
"telephone_number": "651-600-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1687 WOODLANE DR STE 102",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253046",
"telephone_number": "651-600-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"credential": "DAOM, L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-01",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "KRONISCH",
"middle_name": "ELIZABETH",
"credential": "DAOM, L.AC.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.