Active NPI
If
- Clinic/Center
- Stillwater, MN
National Provider Identifier
1700748142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- IF
- Practice address
- 6770 Stillwater Blvd N Ste 200
Stillwater, MN 55082-5438 - Phone
- (612) 839-8350
- NPI assigned
- Nov 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alison Campbell
- Title
- Owner
- Phone
- (612) 839-8350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
6770 Stillwater Blvd N Ste 200
Stillwater, MN 55082-5438
Mailing address
6770 Stillwater Blvd N Ste 200
Stillwater, MN 55082-5438
National Provider Directory
National Provider DirectoryLocations
6770 Stillwater Blvd N
Ste 200
Stillwater, MN 55082
Phone (612) 839-8350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763942400000",
"number": "1700748142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6770 STILLWATER BLVD N STE 200",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 STILLWATER BLVD N STE 200",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825438",
"telephone_number": "612-839-8350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IF",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-839-8350"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.