Individual provider Active NPI

Anjelica Mae Kinney, MAC, LAC, DIPLAC

  • Acupuncturist
  • Winona, MN
National Provider Identifier
1619792876
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2093 Issued in MN
Practice address
157 W 3Rd St Ste a
Winona, MN 55987-3141
Phone
(715) 245-0755
NPI assigned
Nov 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2093 MN Primary

Addresses

Primary practice location

157 W 3Rd St Ste a
Winona, MN 55987-3141

Mailing address

260 Lee St
Winona, MN 55987-2346
Phone (715) 245-0755

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

LicenseStateTypeSpecialty
2093MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Acupuncture LLC Acupuncturist CurrentSince Oct 12, 2025 Accepting new patients
Loon Holistic Health Acupuncturist PastSince Nov 1, 2024 Accepting new patients

Locations

157 W 3rd St
Ste A
Winona, MN 55987
Phone (715) 245-0755

Organizations & group practices 2

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1619792876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 LEE ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559872346",
            "telephone_number": "715-245-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 W 3RD ST STE A",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873141",
            "telephone_number": "715-245-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "ANJELICA",
        "middle_name": "MAE",
        "credential": "MAC, LAC, DIPLAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "2093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.