Active NPI
Taryn Anderson, L.AC.
- Acupuncturist
- Forest Lake, MN
National Provider Identifier
1871399659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1762
- Practice address
- 15226 W Freeway Dr NE
Forest Lake, MN 55025-9433 - Phone
- (651) 464-7111
- NPI assigned
- Feb 21, 2025
- Last updated
- Feb 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 1762 | MN | Primary |
Addresses
Primary practice location
15226 W Freeway Dr NE
Forest Lake, MN 55025-9433
Mailing address
15226 W Freeway Dr NE
Forest Lake, MN 55025-9433
Phone (651) 464-7111
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 |
|---|---|---|---|
| 1762 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1871399659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15226 W FREEWAY DR NE",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550259433",
"telephone_number": "651-464-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15226 W FREEWAY DR NE",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550259433",
"telephone_number": "651-464-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "TARYN",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-21",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.