Qi Nordeast

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1412 Issued in MN

Legal business name

QI NORDEAST

Practice address

800 Lowry Ave NE
Minneapolis, MN 55418-3628

Phone

(612) 298-8738

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Megan Odell, LAC

Title

Owner

Phone

(612) 298-8738

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1659790269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LOWRY AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183628",
            "telephone_number": "612-298-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LOWRY AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183628",
            "telephone_number": "612-298-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QI NORDEAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-298-8738",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.