Organization Active NPI

An Medi-Zen

  • Acupuncturist
  • Bloomington, MN
National Provider Identifier
1760116776
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
AN MEDI-ZEN
Practice address
9354 Ensign Ave S
Bloomington, MN 55438-1455
Phone
(952) 261-3542
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Sharon Johnson-Eby, DOCTORNPI 1760754931
Title
Owner
Phone
(952) 465-2450

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

9354 Ensign Ave S
Bloomington, MN 55438-1455

Mailing address

9354 Ensign Ave S
Bloomington, MN 55438-1455
Phone (952) 261-3542

National Provider Directory

National Provider Directory

Locations

9354 Ensign Ave S
Bloomington, MN 55438
Phone (952) 261-3542

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1760116776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9354 ENSIGN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381455",
            "telephone_number": "952-261-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9354 ENSIGN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381455",
            "telephone_number": "952-261-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN MEDI-ZEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-04-30",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-EBY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-465-2450",
        "authorized_official_credential": "DOCTOR"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.