Active NPI
Amy Carolyn Theis Depoint, L.AC.
- Acupuncturist
- Minneapolis, MN
National Provider Identifier
1881911980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1359
- Practice address
- 414 Penn Ave S
Minneapolis, MN 55405-2059 - Phone
- (612) 439-2028
- NPI assigned
- Apr 28, 2010
- 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 | 1359 | MN | Primary |
Addresses
Primary practice location
414 Penn Ave S
Minneapolis, MN 55405-2059
Mailing address
414 Penn Ave S
Minneapolis, MN 55405-2059
Phone (612) 439-2028
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 |
|---|---|---|---|
| 1359 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1881911980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 PENN AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554052059",
"telephone_number": "612-439-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 PENN AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554052059",
"telephone_number": "612-439-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPOINT",
"first_name": "AMY",
"middle_name": "CAROLYN THEIS",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-28",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1359",
"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 Nov 18, 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.