Individual provider Active NPI

Julie Moniea Skluzacek, M.A.O.M., L.A.C

  • Acupuncturist
  • Pine City, MN
National Provider Identifier
1386090363
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
57280 Glendale Ave
Pine City, MN 55063-9372
Phone
(320) 980-7851
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X MN Primary

Addresses

Primary practice location

57280 Glendale Ave
Pine City, MN 55063-9372

Mailing address

57280 Glendale Ave
Pine City, MN 55063-9372
Phone (320) 980-7851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1386090363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57280 GLENDALE AVE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550639372",
            "telephone_number": "320-980-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57280 GLENDALE AVE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550639372",
            "telephone_number": "320-980-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIEA SKLUZACEK",
        "first_name": "JULIE",
        "credential": "M.A.O.M., L.A.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.