Jill Suzanne Rahn, LIC. ACU.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1303 Issued in MN

Practice address

480 Osborne Rd NE Ste 200
Fridley, MN 55432-2866

Phone

(763) 236-5601

NPI assigned

Jul 29, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Suzanne Neukam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326279001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10631 NATHAN LANE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692634",
            "telephone_number": "612-229-0322",
            "fax_number": "763-210-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 OSBORNE RD NE STE 200",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322866",
            "telephone_number": "763-236-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10631 Nathan Ln N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553692758",
            "country_code": "US",
            "telephone_number": "612-229-0322",
            "fax_number": "763-210-5417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7364 Kirkwood Ct N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553695270",
            "country_code": "US",
            "telephone_number": "763-656-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHN",
        "first_name": "JILL",
        "middle_name": "SUZANNE",
        "credential": "LIC. ACU.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "NEUKAM",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.