Pediatric Acupuncture and Wellness Center

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1126 Issued in MN

Legal business name

PEDIATRIC ACUPUNCTURE AND WELLNESS CENTER

Practice address

2388 University Ave W Ste 206
Saint Paul, MN 55114-1769

Phone

(651) 644-4460

Fax

(651) 787-0957

NPI assigned

Sep 15, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Ellen Anderson-Bierma, L.AC

Title

Licensed Acupuncturist

Phone

(651) 644-4460

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1609158567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2388 UNIVERSITY AVE W STE 206",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141769",
            "telephone_number": "651-644-4460",
            "fax_number": "651-787-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2388 UNIVERSITY AVE W STE 206",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141769",
            "telephone_number": "651-644-4460",
            "fax_number": "651-787-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ACUPUNCTURE AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-BIERMA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "651-644-4460",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Pedersen, OTR/L, CHT
• Tracy Pedersen, M.S., CCC-SLP
• Melissa Wheelock Pederson, PH.D., L.P.
• Patrick Pederson
• Pediatric & Adolescent Care of MN., P.a.
• Pediatric and Young Adult Medicine, PA
• Pediatric Orthopaedic Associates
• Pediatric Rehabilitation Associates
• Maia Nicole Pedrosa
• Kamber Peerboom, LICSW

• Acupuncturist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.