Individual provider Active NPI

Sarah Elliott

  • Acupuncturist
  • Eden Prairie, MN
National Provider Identifier
1639576176
Registry record updated Nov 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1743 Issued in MN
Practice address
13570 Technology Dr
#2204
Eden Prairie, MN 55344-2265
Phone
(315) 657-7670
NPI assigned
Nov 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1743 MN Primary

Addresses

Primary practice location

13570 Technology Dr
#2204
Eden Prairie, MN 55344-2265

Mailing address

13570 Technology Dr
#2204
Eden Prairie, MN 55344-2265
Phone (315) 657-7670

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
1743MNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1417046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417046400000",
    "number": "1639576176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13570 TECHNOLOGY DR",
            "address_2": "#2204",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442265",
            "telephone_number": "315-657-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13570 TECHNOLOGY DR",
            "address_2": "#2204",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442265",
            "telephone_number": "315-657-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-27",
        "last_updated": "2014-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2014; 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.