Active NPI
Amy Schroeder
- Acupuncturist
- Minneapolis, MN
National Provider Identifier
1821354002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1621
- Practice address
- 4037 12TH Ave S
Minneapolis, MN 55407-3239 - Phone
- (651) 238-0108
- NPI assigned
- Apr 2, 2012
- 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 | 1621 | MN | Primary |
Addresses
Primary practice location
4037 12TH Ave S
Minneapolis, MN 55407-3239
Mailing address
4037 12TH Ave S
Minneapolis, MN 55407-3239
Phone (651) 238-0108
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 |
|---|---|---|---|
| 1621 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1821354002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4037 12TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073239",
"telephone_number": "651-238-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4037 12TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073239",
"telephone_number": "651-238-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1621",
"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 Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.