Organization Active NPI

Healing Ink Tattoo LLC

  • Other Specialist/Technologist
  • Waconia, MN
National Provider Identifier
1386558708
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
HEALING INK TATTOO LLC
Practice address
23 W 1St St
Waconia, MN 55387-1411
Phone
(407) 982-4876
Fax
(407) 650-2758
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Cheryl Rae ShohetNPI 1932012408
Title
Owner
Phone
(407) 982-4876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X NU Primary

Addresses

Primary practice location

23 W 1St St
Waconia, MN 55387-1411

Mailing address

23 W 1St St
Waconia, MN 55387-1411
Phone (407) 982-4876

Practitioners & affiliated clinicians

Practitioners 1

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": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1386558708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W 1ST ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871411",
            "telephone_number": "407-982-4876",
            "fax_number": "407-650-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W 1ST ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871411",
            "telephone_number": "407-982-4876",
            "fax_number": "407-650-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING INK TATTOO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "SHOHET",
        "authorized_official_first_name": "CHERYL RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-982-4876"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.