Amy Marie Williams, L.A.C

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1886 Issued in MN

Practice address

213 Parkway Ave
Eagle Lake, MN 56024

Phone

(507) 382-9452

NPI assigned

Dec 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Marie Thiele Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mankato Acupuncture Clinic, LLC

  • Acupuncturist
  • North Mankato, MN
  • NPI 1275180150
  NPD (past)
• Mankato Acupuncture Clinic, LLC

  • Acupuncturist
  • Mankato, MN
  • NPI 1356759740
  NPD (past)

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1255803813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NICOLLET AVE",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "56003",
            "telephone_number": "507-382-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PARKWAY AVE",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "56024",
            "telephone_number": "507-382-9452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 S. Front Street",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "56001",
            "country_code": "US",
            "telephone_number": "507-388-6829",
            "fax_number": "507-388-1963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "L.A.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "THIELE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Marie Prange, DNP, APRN, FNP-C
• Brandon Lane Sloniker, DC
• Southern Minn. Homecare LLC
• Southern Minnesota Home Care (Southern Minnesota Home Care LLC)
• Andrew Vostad, DDS
• Steven Yath, RN

• Acupuncturist in Eagle Lake, MN
• Providers in Eagle Lake, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; 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.