Individual provider Active NPI

Anna Miller-Gyaase, DC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1841955192
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6912 Issued in MN
Practice address
643 N 5TH St Apt 332
Minneapolis, MN 55401-2753
Phone
(920) 253-9244
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6912 MN Primary

Addresses

Primary practice location

643 N 5TH St Apt 332
Minneapolis, MN 55401-2753

Mailing address

643 N 5TH St Apt 332
Minneapolis, MN 55401-2753
Phone (920) 253-9244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721000325 MN Practitioner - Chiropractic 0941681050 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6912MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lindstrom Chiropractic Center, P.a. Chiropractor CurrentSince Jun 22, 2022 Accepting new patients
The Haven Chiropractic Health Center PLLC Chiropractor CurrentSince Sep 8, 2024 Accepting new patients
Specific Health & Chiropractic PLLC Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Lindstrom Chiropractic Center, PA Chiropractor CurrentSince Jun 22, 2022 Accepting new patients
Lakes Holistic Care LLC Chiropractor PastSince Nov 1, 2021 Accepting new patients

Locations

12099 Lindstrom Ln
Lindstrom, MN 55045
Phone (651) 243-8967

10950 Club West Pkwy
Ste 190
Minneapolis, MN 55449
Phone (763) 400-4940

2785 White Bear Ave N
Ste 108
Saint Paul, MN 55109
Phone (651) 289-0344

Organizations & group practices 5

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1841955192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 N 5TH ST APT 332",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012753",
            "telephone_number": "920-253-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 N 5TH ST APT 332",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012753",
            "telephone_number": "920-253-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-GYAASE",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6912",
            "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 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.