Active NPI
Jason Richard, L.AC.
- Acupuncturist
- Austin, MN
National Provider Identifier
1285872549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1193
- Practice address
- 115 4TH Ave NE
Austin, MN 55912-3305 - Phone
- (507) 434-8700
- NPI assigned
- Jan 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 1193 | MN | Primary |
Addresses
Primary practice location
115 4TH Ave NE
Austin, MN 55912-3305
Mailing address
1205 1St Ave NE
Austin, MN 55912-4566
Phone (507) 434-3516
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 |
|---|---|---|---|
| 1193 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232841600000",
"number": "1285872549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 1ST AVE NE",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559124566",
"telephone_number": "507-434-3516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 4TH AVE NE",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559123305",
"telephone_number": "507-434-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "JASON",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-25",
"last_updated": "2009-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.