Individual provider Active NPI

Sara Jane Amundson

  • Acupuncturist
  • Minnetonka, MN
National Provider Identifier
1669337242
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2134 Issued in MN
Practice address
10912 Greenbrier Rd
Minnetonka, MN 55305-3474
Phone
(952) 935-0600
NPI assigned
Dec 17, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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
2134MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Acupuncture Inc. Acupuncturist PastSince Dec 21, 2025 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2134 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

10912 Greenbrier Rd
Minnetonka, MN 55305-3474

Mailing address

255 Western Ave N Apt 309
Saint Paul, MN 55102-4713
Phone (651) 235-1150

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2025.

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1669337242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WESTERN AVE N APT 309",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024713",
            "telephone_number": "651-235-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10912 GREENBRIER RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553053474",
            "telephone_number": "952-935-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "SARA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "2134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.