NPIMap

Organization Active NPI

Willow Tree Acupuncture LLC

  • Acupuncturist
  • St. Cloud, MN
National Provider Identifier
1306406947
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WILLOW TREE ACUPUNCTURE LLC
Practice address
203 Cooper Ave N Suite 160
St. Cloud, MN 56303
Phone
(320) 493-8278
Fax
(866) 990-2971
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Jessica Leah Sunsdahl, L.ACNPI 1043503154
Title
Acupuncturist / Clinic Owner
Phone
(320) 493-8278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

203 Cooper Ave N Suite 160
St. Cloud, MN 56303

Mailing address

203 Cooper Ave N Suite 160
St. Cloud, MN 56303
Phone (320) 493-8278

National Provider Directory

National Provider Directory

Locations

203 Cooper Ave N
Ste 160
Saint Cloud, MN 56303
Phone (320) 310-4000

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1306406947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COOPER AVE N SUITE 160",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-493-8278",
            "fax_number": "866-990-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COOPER AVE N SUITE 160",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-493-8278",
            "fax_number": "866-990-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "SUNSDAHL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "ACUPUNCTURIST / CLINIC OWNER",
        "authorized_official_telephone_number": "320-493-8278",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.