Active NPI
Marcia Kirk, L.AC.
- Acupuncturist
- Prior Lake, MN
National Provider Identifier
1295058345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1376
- Practice address
- 6278 150TH St SE
Prior Lake, MN 55372-2104 - Phone
- (612) 209-8485
- NPI assigned
- Mar 3, 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 | 1376 | MN | Primary |
Addresses
Primary practice location
6278 150TH St SE
Prior Lake, MN 55372-2104
Mailing address
6278 150TH St SE
Prior Lake, MN 55372-2104
Phone (612) 209-8485
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 |
|---|---|---|---|
| 1376 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Acupuncture LLC | 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.
-
- Acupuncturist
- Prior Lake, MN
- NPI 1033433842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1295058345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6278 150TH ST SE",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553722104",
"telephone_number": "612-209-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6278 150TH ST SE",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553722104",
"telephone_number": "612-209-8485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "MARCIA",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-03",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prior Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.