Active NPI
Amanda Z Freed, L.AC.
- Acupuncturist
- Saint Paul, MN
National Provider Identifier
1508684655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2089
- Practice address
- 49 S Deep Lake Rd
Saint Paul, MN 55127-6312 - Phone
- (612) 296-3796
- NPI assigned
- Sep 27, 2024
- 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 | 2089 | MN | Primary |
Addresses
Primary practice location
49 S Deep Lake Rd
Saint Paul, MN 55127-6312
Mailing address
49 S Deep Lake Rd
Saint Paul, MN 55127-6312
Phone (612) 296-3796
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Therapy Group | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1508684655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 S DEEP LAKE RD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551276312",
"telephone_number": "612-296-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 S DEEP LAKE RD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551276312",
"telephone_number": "612-296-3796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "AMANDA",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-27",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "2089",
"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 Sep 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.