The Ivy Birth Doula

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

THE IVY BIRTH DOULA

Practice address

12455 Ridgedale Dr # 203
Minnetonka, MN 55305-1786

Phone

(651) 485-8169

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Adrienne Elizabeth Suess, L.AC, DOULANPI 1215592068

Title

Owner

Phone

(651) 485-8169

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adrienne Elizabeth Suess, L.AC, DIPL.AC

  • Acupuncturist
  • Minnetonka, MN
  • NPI 1215592068
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702771200000",
    "number": "1891345682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 RIDGEDALE DR # 203",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051786",
            "telephone_number": "651-485-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 RIDGEDALE DR # 203",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051786",
            "telephone_number": "651-485-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IVY BIRTH DOULA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A",
        "authorized_official_last_name": "SUESS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-485-8169",
        "authorized_official_credential": "L.AC, DOULA"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.