Organization Active NPI

White Lily Acupuncture LLC

  • Acupuncturist
  • Lakeville, MN
National Provider Identifier
1245553387
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
171100000X Issued in MN
Legal business name
WHITE LILY ACUPUNCTURE LLC
Practice address
18476 Kenrick Ave
Suite 201
Lakeville, MN 55044-9288
Phone
(612) 396-5622
NPI assigned
Mar 3, 2010
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Christine Keller, L.AC.NPI 1558694851
Title
Licensed Acupuncturist
Phone
(612) 396-5622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 171100000X MN Primary

Addresses

Primary practice location

18476 Kenrick Ave
Suite 201
Lakeville, MN 55044-9288

Mailing address

18476 Kenrick Ave
Suite 201
Lakeville, MN 55044-9288
Phone (612) 396-5622

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1245553387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18476 KENRICK AVE",
            "address_2": "SUITE 201",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449288",
            "telephone_number": "612-396-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18476 KENRICK AVE",
            "address_2": "SUITE 201",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449288",
            "telephone_number": "612-396-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE LILY ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "612-396-5622",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "171100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.