Organization Active NPI

White Oak Acupuncture LLC

  • Acupuncturist
  • Saint Francis, MN
National Provider Identifier
1770937906
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1594 Issued in MN
Legal business name
WHITE OAK ACUPUNCTURE LLC
Practice address
23624 Saint Francis Blvd NW Ste 1
Saint Francis, MN 55070-5501
Phone
(612) 516-4386
Fax
(888) 333-1427
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Rachel Simone Nudd, LACNPI 1225373483
Title
Owner/ Licensed Acupuncturist
Phone
(612) 516-4386

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: 193400000X SINGLE SPECIALTY GROUP 171100000X 1594 MN Primary

Addresses

Primary practice location

23624 Saint Francis Blvd NW Ste 1
Saint Francis, MN 55070-5501

Mailing address

2365 Lake George Dr NW
Cedar, MN 55011-4216
Phone (612) 516-4386

National Provider Directory

National Provider Directory

Locations

23624 Saint Francis Blvd NW
Ste 1
Saint Francis, MN 55070
Phone (612) 516-4386

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": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1770937906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 LAKE GEORGE DR NW",
            "city": "CEDAR",
            "state": "MN",
            "postal_code": "550114216",
            "telephone_number": "612-516-4386",
            "fax_number": "888-333-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23624 SAINT FRANCIS BLVD NW STE 1",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550705501",
            "telephone_number": "612-516-4386",
            "fax_number": "888-333-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "NUDD",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER/ LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "612-516-4386",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.