TCM Wellness Clinic LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

TCM WELLNESS CLINIC LLC

Practice address

675 Water St Ste 3
Excelsior, MN 55331-3072

Phone

(612) 965-5227

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Nichole Marie Vanecek, L.AC., M.AC.O.M.,NPI 1891074514

Title

Owner

Phone

(612) 965-5227

Specialties & licenses 1

Addresses

Other names 1

• EastWest Acupuncture Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nichole Marie Vanecek

  • Acupuncturist
  • Excelsior, MN
  • NPI 1891074514
  NPD Authorized official
• Kerry Gilbert, LAC

  • Acupuncturist
  • Carver, MN
  • NPI 1306439807
  NPD

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1285237016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 WATER ST STE 3",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553313072",
            "telephone_number": "612-965-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 WATER ST STE 3",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553313072",
            "telephone_number": "612-965-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCM WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "VANECEK",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-965-5227",
        "authorized_official_credential": "L.AC., M.AC.O.M.,"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EastWest Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EastWest Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Excelsior, MN
• Providers in Excelsior, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.