Active NPI
Jocelyne M Walberg
- Homeopath
- Elk River, MN
National Provider Identifier
1952523912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homeopath
- Practice address
- 200 5TH St NW
Suite D
Elk River, MN 55330-1917 - Phone
- (763) 633-5555
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Homeopath | 175L00000X | Primary |
Addresses
Primary practice location
200 5TH St NW
Suite D
Elk River, MN 55330-1917
Mailing address
16395 261St Ave
Big Lake, MN 55309
Phone (763) 633-5555
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1952523912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16395 261ST AVE",
"city": "BIG LAKE",
"state": "MN",
"postal_code": "55309",
"telephone_number": "763-633-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 5TH ST NW",
"address_2": "SUITE D",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301917",
"telephone_number": "763-633-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALBERG",
"first_name": "JOCELYNE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.