NPIMap

Organization Active NPI

Lifestream Wellness, LLC

  • Clinic/Center
  • Eagan, MN
National Provider Identifier
1396282794
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1772 Issued in MN
Legal business name
LIFESTREAM WELLNESS, LLC
Practice address
3440 Federal Dr
Suite 140
Eagan, MN 55122-3501
Phone
(651) 338-3574
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Jean Baker-McLaughlin, L.AC
Title
Owner, Licensed Acupuncturist
Phone
(651) 338-3574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1772 MN Primary

Addresses

Primary practice location

3440 Federal Dr
Suite 140
Eagan, MN 55122-3501

Mailing address

240 Spring St Unit 408
Saint Paul, MN 55102-4704
Phone (651) 338-3574

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1396282794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SPRING ST UNIT 408",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024704",
            "telephone_number": "651-338-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR",
            "address_2": "SUITE 140",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223501",
            "telephone_number": "651-338-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTREAM WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "BAKER-MCLAUGHLIN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER, LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "651-338-3574",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "1772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.