Active NPI
Michelle McGlade, L.AC.
- Acupuncturist
- Mendota Heights, MN
National Provider Identifier
1891059515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1625
- Practice address
- 1200 Centre Pointe Curv
Suite 375
Mendota Heights, MN 55120-1350 - Phone
- (651) 686-0440
- Fax
- (651) 452-1189
- NPI assigned
- Jun 27, 2012
- 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 | 1625 | MN | Primary |
Addresses
Primary practice location
1200 Centre Pointe Curv
Suite 375
Mendota Heights, MN 55120-1350
Mailing address
1200 Centre Pointe Curv
Suite 375
Mendota Heights, MN 55120-1350
Phone (651) 686-0440
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 |
|---|---|---|---|
| 1625 | MN | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1891059515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CENTRE POINTE CURV",
"address_2": "SUITE 375",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551201350",
"telephone_number": "651-686-0440",
"fax_number": "651-452-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CENTRE POINTE CURV",
"address_2": "SUITE 375",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551201350",
"telephone_number": "651-686-0440",
"fax_number": "651-452-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLADE",
"first_name": "MICHELLE",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mendota Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.