Organization Active NPI

Red Wing Healing Arts PLLC

  • Clinic/Center
  • Red Wing, MN
National Provider Identifier
1306342514
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6488 Issued in MN
Legal business name
RED WING HEALING ARTS PLLC
Practice address
316 Bush St
Red Wing, MN 55066
Phone
(651) 764-6199
NPI assigned
Apr 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Elizabeth Olson, DC
Title
Owner
Phone
(315) 294-2268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6488 MN Primary

Addresses

Primary practice location

316 Bush St
Red Wing, MN 55066

Mailing address

1218 Central Ave
Red Wing, MN 55066-3303
Phone (315) 294-2268

Other practice location 1

321 W 3rd St
Red Wing, MN 55066-2306
Phone (315) 294-2268

Other practice location 2

321 W 3rd St
Red Wing, MN 55066-2306
Phone (315) 294-2268

National Provider Directory

National Provider Directory

Locations

321 W 3rd St
Red Wing, MN 55066
Phone (315) 294-2268

405 W 3rd St
Apt B
Red Wing, MN 55066

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1306342514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 CENTRAL AVE",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550663303",
            "telephone_number": "315-294-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BUSH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "55066",
            "telephone_number": "651-764-6199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Red Wing",
            "state": "MN",
            "postal_code": "550662306",
            "country_code": "US",
            "telephone_number": "315-294-2268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Red Wing",
            "state": "MN",
            "postal_code": "550662306",
            "country_code": "US",
            "telephone_number": "315-294-2268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED WING HEALING ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-294-2268",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "6488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Wing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.