SHANE B BERQUIST (NPI# 1134468093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134468093 |
| Entity Type | Individual |
| Full Name | SHANE B BERQUIST |
| Credential | L. AC., M.SC.O.M. |
| Practice Address |
1820 Riverside Ave Minneapolis MN 55454-1193 |
| Practice Telephone | 6513538031 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2015-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 1659 | MN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1134468093 | 05 |
| Street Address |
1820 RIVERSIDE AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174832943 | James B Reid | Massage Therapist | 1820 Riverside Ave, Attn: Jim, Minneapolis, MN 55454-1035 | 2010-09-28 |
| 1265090641 | Precision Acupuncture LLC | Acupuncturist | 1820 Riverside Ave, Minneapolis, MN 55454-1193 | 2019-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113500 | Zoe Who Erickson | Acupuncturist | 5013 1/2 France Ave S, Minneapolis, MN 55410-2034 | 2020-01-08 |
| 1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
| 1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1679125595 | Meghan Mabe | Acupuncturist | 3641 10th Ave S Apt 1, Minneapolis, MN 55407-2192 | 2019-07-11 |
| 1063984110 | Amber Lee Moore | Acupuncturist | 3524 Elliot Ave, Minneapolis, MN 55407-2129 | 2018-12-28 |
| 1437637865 | Mallory E Carlson | Acupuncturist | 2545 Chicago Ave Ste G10, Minneapolis, MN 55404-4569 | 2018-07-28 |
| 1790281921 | Leah Fifield | Acupuncturist | 401 N 3rd St Ste 360, Minneapolis, MN 55401-1350 | 2018-04-05 |
| 1881196988 | Cynthia Peters Miller | Acupuncturist | 913 E 26th St Ste 402, Minneapolis, MN 55404-4515 | 2018-03-05 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on SHANE B BERQUIST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.