Active NPI
Tia Cassidy Albertson, L.AC
- Acupuncturist
- Eagan, MN
National Provider Identifier
1801488705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1965
- Practice address
- 4640 Nicols Rd Ste 207
Eagan, MN 55122-7400 - Phone
- (651) 444-8869
- NPI assigned
- Feb 11, 2021
- Last updated
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1965 | MN | Primary |
Addresses
Primary practice location
4640 Nicols Rd Ste 207
Eagan, MN 55122-7400
Mailing address
4640 Nicols Rd Ste 207
Eagan, MN 55122-7400
Phone (651) 444-8869
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1965 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1801488705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4640 NICOLS RD STE 207",
"city": "EAGAN",
"state": "MN",
"postal_code": "551227400",
"telephone_number": "651-444-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4640 NICOLS RD STE 207",
"city": "EAGAN",
"state": "MN",
"postal_code": "551227400",
"telephone_number": "651-444-8869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERTSON",
"first_name": "TIA",
"middle_name": "CASSIDY",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.