TRADITIONAL ROOTS HEALTHCARE (NPI# 1295108819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295108819 |
| Entity Type | Organization |
| Organization Name | TRADITIONAL ROOTS HEALTHCARE |
| Practice Address |
165 Dunlap St N Saint Paul MN 55104-6405 |
| Practice Telephone | 6514472196 |
| Mailing Telephone | 6514472196 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | VALERIE OVERBY (CO-FOUNDER, VICE PRESIDENT) |
| Authorized Official Telephone | 6125787977 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 1774 | MN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215385042 | Traditional Roots Healthcare | Acupuncturist | 165 Dunlap St N, Saint Paul, MN 55104-6405 | 2016-06-02 |
| Street Address |
165 DUNLAP ST N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215385042 | Traditional Roots Healthcare | Acupuncturist | 165 Dunlap St N, Saint Paul, MN 55104-6405 | 2016-06-02 |
| 1245687607 | Valerie Overby | Acupuncturist | 165 Dunlap St N, Saint Paul, MN 55104-6405 | 2016-05-16 |
| 1831546290 | Annie Lund | Acupuncturist | 165 Dunlap St N, Saint Paul, MN 55104-6405 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| 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 |
|---|---|---|---|---|
| 1598371031 | Brianna Loftus | Acupuncturist | 661 Lasalle St Ste B100, Saint Paul, MN 55114-1874 | 2020-09-21 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1891345682 | Stepping Stone Acupuncture LLC | Acupuncturist | 823 Howell St N, Saint Paul, MN 55104-1025 | 2019-09-13 |
| 1760951933 | Siling Feng | Acupuncturist | 393 Dunlap St N Ste 730, Saint Paul, MN 55104-4205 | 2018-11-17 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1629575725 | Kenda Helfrich | Acupuncturist | 993 Randolph Ave, Saint Paul, MN 55102-3347 | 2018-04-06 |
| 1922512805 | Emma Penelope Broderick | Acupuncturist | 1211 James Ave, Saint Paul, MN 55105-2920 | 2017-11-29 |
| 1669984548 | Access Wellness | Acupuncturist | 796 Smith Ave S, Saint Paul, MN 55107-3523 | 2017-10-31 |
| 1922520048 | Haven In The City | Acupuncturist | 666 Lincoln Ave Apt C, Saint Paul, MN 55105-3546 | 2017-07-11 |
| 1053781963 | Xiaoyan Liu | Acupuncturist | 355 Grand Ave, Saint Paul, MN 55102-2325 | 2015-10-05 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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| 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.