Active NPI
Michelle Lyn Jones, L.AC
- Acupuncturist
- Roseville, MN
National Provider Identifier
1457936940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1945
- Practice address
- 1925 County Road B2 W
Roseville, MN 55113-2703 - Phone
- (651) 631-0204
- NPI assigned
- Mar 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 1945 | MN | Primary |
Addresses
Primary practice location
1925 County Road B2 W
Roseville, MN 55113-2703
Mailing address
9524 Dakota Rd
Bloomington, MN 55438-1711
Phone (612) 385-5424
Other practice location 1
9524 Dakota Rd
Bloomington, MN 55438-1711
Phone (612) 385-5424
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 |
|---|---|---|---|
| 1945 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Academy of Traditional Chinese Medicine, Inc. | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Roseville, MN
- NPI 1689796625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1457936940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9524 DAKOTA RD",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554381711",
"telephone_number": "612-385-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 COUNTY ROAD B2 W",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132703",
"telephone_number": "651-631-0204"
}
],
"practiceLocations": [
{
"address_1": "9524 Dakota Rd",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "MN",
"postal_code": "554381711",
"country_code": "US",
"telephone_number": "612-385-5424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "MICHELLE",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "MN",
"license": "1945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.