Active NPI
Yaelin Shim
- Acupuncturist
- St Anthony, MN
National Provider Identifier
1548977754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2027
- Practice address
- 2500 Highway 88 Ste 111
St Anthony, MN 55418-4225 - Phone
- (612) 345-7463
- NPI assigned
- Oct 28, 2022
- 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 | 2027 | MN | Primary |
Addresses
Primary practice location
2500 Highway 88 Ste 111
St Anthony, MN 55418-4225
Mailing address
2500 Highway 88 Ste 111
St Anthony, MN 55418-4225
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 |
|---|---|---|---|
| 2027 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1548977754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 HIGHWAY 88 STE 111",
"city": "ST ANTHONY",
"state": "MN",
"postal_code": "554184225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HIGHWAY 88 STE 111",
"city": "ST ANTHONY",
"state": "MN",
"postal_code": "554184225",
"telephone_number": "612-345-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIM",
"first_name": "YAELIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-28",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "2027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Anthony, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.