Jill E Berg, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1623 Issued in MN

Practice address

72599 220TH St
Albert Lea, MN 56007-4913

Phone

(507) 373-2678

NPI assigned

Jan 4, 2013

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

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": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1356688782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72599 220TH ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560074913",
            "telephone_number": "507-373-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72599 220TH ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560074913",
            "telephone_number": "507-373-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "JILL",
        "middle_name": "E",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Bauman, PHARMD
• Brittney Baxter Dameron, LICSW, LISW
• Bella Violet Therapy and Consulting
• Allison Berniece Berg Heinemann
• Elizabeth Jordan Berg, D.C
• Melissa Johnson Bertelson, NP-C
• Joni Bidne, COTA
• Ann Renee Bills, RN
• Duard Dewayne Birkhofer, M.D.
• Ali Bishop

• Acupuncturist in Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.