Sarah Lavaque

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2060 Issued in MN

Practice address

1579 Hamline Ave N
Falcon Heights, MN 55108-2107

Phone

(651) 227-6865

NPI assigned

Nov 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mankato Acupuncture Clinic, LLC

  • Acupuncturist
  • North Mankato, MN
  • NPI 1275180150
  NPD (past)
• Mankato Acupuncture Clinic, LLC

  • Acupuncturist
  • Mankato, MN
  • NPI 1356759740
  NPD (past)

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1477328516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 LEEWARD TRL",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551299463",
            "telephone_number": "651-233-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 HAMLINE AVE N",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551082107",
            "telephone_number": "651-227-6865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 S Front St",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560013887",
            "country_code": "US",
            "telephone_number": "507-388-6829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVAQUE",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "2060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Lee Estebo, D.C.
• Hamline Family Dental
• James Kernik, D.D.S.
• Christiane Blank Knaus, PHARMD RPH
• Eric Gordon Koehler, DC
• Mercarik Inc
• Minnesota Eye Consultants, PA
• Grant Davis Mitchell, MOTR/L
• Anne Marie Derosier Muench
• Janelle Nesbitt, PHYSICAL THERAPIST

• Acupuncturist in Falcon Heights, MN
• Providers in Falcon Heights, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.