Individual provider Active NPI

Jalashree Pradhan, L.AC

  • Acupuncturist
  • Minneapolis, MN
National Provider Identifier
1801443452
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1191 Issued in MN
Practice address
5000 W 36TH St Ste 120
Minneapolis, MN 55416-2775
Phone
(612) 922-8100
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1191 MN Primary

Addresses

Primary practice location

5000 W 36TH St Ste 120
Minneapolis, MN 55416-2775

Mailing address

3504 Pillsbury Ave S
Minneapolis, MN 55408-4329
Phone (612) 396-2997

Other practice location 1

4820 Minnetonka Blvd Ste 305
St Louis Park, MN 55416-5708
Phone (612) 822-2925

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
1191MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Pointe Chiropractic Centre CurrentSince Aug 25, 2019 Accepting new patients
Bierschbach Acupuncture, Inc. Acupuncturist PastSince Jul 24, 2022 Accepting new patients

Locations

5000 W 36th St
Ste 120
St Louis Park, MN 55416
Phone (612) 615-7397

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1801443452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 PILLSBURY AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084329",
            "telephone_number": "612-396-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162775",
            "telephone_number": "612-922-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4820 Minnetonka Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554165708",
            "country_code": "US",
            "telephone_number": "612-822-2925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "JALASHREE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.