Active NPI
Healing Ink Tattoo LLC
- Other Specialist/Technologist
- Waconia, MN
National Provider Identifier
1386558708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Rae Shohet
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Other Specialist/Technologist
- Waconia, MN
- NPI 1932012408
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.