Organization Active NPI

Healingtree Integrative Health Clinic, PLLC

  • Acupuncturist
  • Grand Forks, ND
National Provider Identifier
1699399485
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
HEALINGTREE INTEGRATIVE HEALTH CLINIC, PLLC
Practice address
2520 S Washington St Unit B
Grand Forks, ND 58201-6777
Phone
(701) 757-4325
NPI assigned
Jun 8, 2020
Last updated
Jun 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Megan BolekNPI 1205123957
Title
Owner/Partner
Phone
(701) 520-1601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

2520 S Washington St Unit B
Grand Forks, ND 58201-6777

Mailing address

2520 S Washington St Unit B
Grand Forks, ND 58201-6777
Phone (701) 757-4325

National Provider Directory

National Provider Directory

Locations

2520 S Washington St
Unit B
Grand Forks, ND 58201
Phone (701) 757-4325

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1699399485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S WASHINGTON ST UNIT B",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016777",
            "telephone_number": "701-757-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 S WASHINGTON ST UNIT B",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016777",
            "telephone_number": "701-757-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALINGTREE INTEGRATIVE HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "BOLEK",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "701-520-1601"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.