Active NPI
Anita L Teigen, L.AC.
- Acupuncturist
- Roseville, MN
National Provider Identifier
1255632253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1447
- Practice address
- 2233 Hamline Ave N
Suite 433
Roseville, MN 55113-5005 - Phone
- (612) 308-3597
- NPI assigned
- Nov 6, 2010
- 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 | 1447 | MN | Primary |
Addresses
Primary practice location
2233 Hamline Ave N
Suite 433
Roseville, MN 55113-5005
Mailing address
2233 Hamline Ave N
Suite 433
Roseville, MN 55113-5005
Phone (612) 308-3597
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1447 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Clover Clinic Inc | 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": "1289001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1255632253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 HAMLINE AVE N",
"address_2": "SUITE 433",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551135005",
"telephone_number": "612-308-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 HAMLINE AVE N",
"address_2": "SUITE 433",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551135005",
"telephone_number": "612-308-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEIGEN",
"first_name": "ANITA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-06",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.