Active NPI
Nikki A Fleck
- Acupuncturist
- Minneapolis, MN
National Provider Identifier
1427707405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1987
- Practice address
- 4059 Chicago Ave
Minneapolis, MN 55407-3142 - Phone
- (612) 205-3599
- NPI assigned
- Mar 18, 2022
- Last updated
- Mar 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1987 | MN | Primary |
Addresses
Primary practice location
4059 Chicago Ave
Minneapolis, MN 55407-3142
Mailing address
4059 Chicago Ave
Minneapolis, MN 55407-3142
Phone (612) 205-3599
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1987 | MN | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1427707405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4059 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073142",
"telephone_number": "612-205-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4059 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073142",
"telephone_number": "612-205-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLECK",
"first_name": "NIKKI",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.