Active NPI
Mary Sorensen, L. AC.
- Acupuncturist
- Saint Paul, MN
National Provider Identifier
1508259599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1760
- Practice address
- 400 Selby Ave
Ste G2
Saint Paul, MN 55102-4508 - Phone
- (651) 224-6678
- NPI assigned
- Mar 14, 2015
- 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 | 1760 | MN | Primary |
Addresses
Primary practice location
400 Selby Ave
Ste G2
Saint Paul, MN 55102-4508
Mailing address
400 Selby Ave
Ste G2
Saint Paul, MN 55102-4508
Phone (651) 224-6678
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 |
|---|---|---|---|
| 1760 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Selby Acupuncture, LLC | 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
- Saint Paul, MN
- NPI 1740422062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426291200000",
"number": "1508259599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SELBY AVE",
"address_2": "STE G2",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551024508",
"telephone_number": "651-224-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SELBY AVE",
"address_2": "STE G2",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551024508",
"telephone_number": "651-224-6678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "MARY",
"credential": "L. AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-14",
"last_updated": "2015-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.