Individual provider Active NPI

Jodi M Kapla Mason, LAC MT(ASCP)

  • Acupuncturist
  • Woodbury, MN
National Provider Identifier
1407080369
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1894 Issued in MN
Practice address
2110 Eagle Creek LN Ste 400
Woodbury, MN 55129-3209
Phone
(575) 779-4851
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X
Acupuncturist 171100000X 1894 MN Primary

Addresses

Primary practice location

2110 Eagle Creek LN Ste 400
Woodbury, MN 55129-3209

Mailing address

410 Camino Miramontes
Espanola, NM 87532-8052
Phone (575) 779-4851

Other identifiers 3

IdentifierTypeStateIssuer
986-55OtherWIWISCONSIN ACUPUNCTURE LICENSE
1894OtherMNMINNESOTA ACUPUNCTURE LICENSE
20064OtherNCCAOM

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": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1407080369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CAMINO MIRAMONTES",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875328052",
            "telephone_number": "575-779-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 EAGLE CREEK LN STE 400",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551293209",
            "telephone_number": "575-779-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLA MASON",
        "first_name": "JODI",
        "middle_name": "M",
        "credential": "LAC    MT(ASCP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN ACUPUNCTURE LICENSE",
            "identifier": "986-55",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA ACUPUNCTURE LICENSE",
            "identifier": "1894",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM",
            "identifier": "20064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.