Organization Active NPI

Integrated Energetic Alignment LLC

  • Occupational Health Chiropractor
  • Stillwater, MN
National Provider Identifier
1497590848
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
Legal business name
INTEGRATED ENERGETIC ALIGNMENT LLC
Practice address
5898 Omaha Ave N Ste 2
Stillwater, MN 55082-6386
Phone
(602) 342-0805
NPI assigned
Jun 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Elizabeth Rose Anderson, DCNPI 1952781494
Title
Owner
Phone
(602) 342-0805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0100X Primary

Addresses

Primary practice location

5898 Omaha Ave N Ste 2
Stillwater, MN 55082-6386

Mailing address

5898 Omaha Ave N Ste 2
Stillwater, MN 55082-6386
Phone (602) 342-0805

National Provider Directory

National Provider Directory

Locations

5898 Omaha Ave N
Ste 2
Stillwater, MN 55082
Phone (602) 342-0805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1497590848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5898 OMAHA AVE N STE 2",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826386",
            "telephone_number": "602-342-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5898 OMAHA AVE N STE 2",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826386",
            "telephone_number": "602-342-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED ENERGETIC ALIGNMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-342-0805",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.