Med Spa at Skin MPLS PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MED SPA AT SKIN MPLS PLLC

Practice address

5100 Edina Industrial Blvd Ste 238
Edina, MN 55439-3003

Phone

(612) 817-5090

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Rebecca NosanNPI 1801865407

Title

Owner

Phone

(612) 817-5090

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rebecca Nosan

  • Registered Nurse
  • St Louis Park, MN
  • NPI 1801865407
  NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1598544033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 EDINA INDUSTRIAL BLVD STE 238",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 EDINA INDUSTRIAL BLVD STE 238",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393003",
            "telephone_number": "612-817-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SPA AT SKIN MPLS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "NOSAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-817-5090"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen McWilliams, CES, OTR/L
• Sarah Meacham, RN
• Stephen D. Meade, MD
• Vickie Meade, PT
• Nicholas Jeremiah Meath, PA-C
• Medela Therapy LLC
• Median Care
• Dillon Medlock, MD
• Annika Delanna Meehan, L.AC.
• Sara Mehalick, LPC

• Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.