Active NPI
Teresa A Ellingsworth, LAC
- Acupuncturist
- Minneapolis, MN
National Provider Identifier
1487693297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1215
- Practice address
- 914 S 8TH St
Ste 1106
Minneapolis, MN 55404-1210 - Phone
- (612) 347-6238
- NPI assigned
- Jun 6, 2006
- 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 | 1215 | MN | Primary |
Addresses
Primary practice location
914 S 8TH St
Ste 1106
Minneapolis, MN 55404-1210
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
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 |
|---|---|---|---|
| 1215 | MN | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487693297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 S 8TH ST",
"address_2": "STE 1106",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554041210",
"telephone_number": "612-347-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGSWORTH",
"first_name": "TERESA",
"middle_name": "A",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1215",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.