NPIMap

Organization Active NPI

Mankato Acupuncture Clinic, LLC

  • Acupuncturist
  • Mankato, MN
National Provider Identifier
1356759740
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1564 Issued in MN
Legal business name
MANKATO ACUPUNCTURE CLINIC, LLC
Practice address
709 S Front St Ste 5
Mankato, MN 56001-3887
Phone
(507) 388-6829
Fax
(507) 388-1963
NPI assigned
Jul 29, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Stephanie L Hylla, L.AC.NPI 1366735854
Title
Acupuncturist
Phone
(507) 388-6829

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
Acupuncturist 171100000X 1564 MN Primary

Addresses

Primary practice location

709 S Front St Ste 5
Mankato, MN 56001-3887

Mailing address

709 S Front St Ste 5
Mankato, MN 56001-3887
Phone (507) 388-6829

National Provider Directory

National Provider Directory
Tax ID family
Mankato Acupuncture Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

709 S Front St
Ste 5
Mankato, MN 56001
Phone (507) 388-6829

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356759740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S FRONT ST STE 5",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013887",
            "telephone_number": "507-388-6829",
            "fax_number": "507-388-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S FRONT ST STE 5",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013887",
            "telephone_number": "507-388-6829",
            "fax_number": "507-388-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKATO ACUPUNCTURE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HYLLA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "507-388-6829",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • 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.