Active NPI
Practical & Creative LLC
- Acupuncturist
- Bloomington, MN
National Provider Identifier
1518795392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- PRACTICAL & CREATIVE LLC
- Practice address
- 8120 Penn Ave S Ste 248
Bloomington, MN 55431-1358 - Phone
- (952) 303-5780
- Fax
- (952) 303-6888
- NPI assigned
- Jul 23, 2024
- Last updated
- Jul 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ivonne Marcela Mosquera-Schmidt, DCM
- Title
- Owner, DCM, Massage TP
- Phone
- (952) 303-5780
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
8120 Penn Ave S Ste 248
Bloomington, MN 55431-1358
Mailing address
8120 Penn Ave S Ste 248
Bloomington, MN 55431-1358
Phone (952) 303-5780
National Provider Directory
National Provider DirectoryLocations
8120 Penn Ave S
Ste 248
Bloomington, MN 55431
Phone (952) 303-5780
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Acupuncturist
- Bloomington, MN
- NPI 1194300541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1518795392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 PENN AVE S STE 248",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554311358",
"telephone_number": "952-303-5780",
"fax_number": "952-303-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 PENN AVE S STE 248",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554311358",
"telephone_number": "952-303-5780",
"fax_number": "952-303-6888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRACTICAL & CREATIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2021-02-24",
"status": "A",
"authorized_official_last_name": "MOSQUERA-SCHMIDT",
"authorized_official_first_name": "IVONNE",
"authorized_official_middle_name": "MARCELA",
"authorized_official_title_or_position": "OWNER, DCM, MASSAGE TP",
"authorized_official_telephone_number": "952-303-5780",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DCM"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.