NPIMap

Organization Active NPI

Eberhardy Acupuncture Clinic & Herbal Pharmacy LLC

  • Acupuncturist
  • Wisconsin Rapids, WI
National Provider Identifier
1043553365
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
696-055 Issued in WI
Legal business name
EBERHARDY ACUPUNCTURE CLINIC & HERBAL PHARMACY LLC
Practice address
400 Daly Ave
Wisconsin Rapids, WI 54494-4702
Phone
(715) 424-7292
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Ms. Debra Lee Eberhardy, L.AC.
Title
Acupuncturist
Phone
(715) 424-7292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 696-055 WI Primary

Addresses

Primary practice location

400 Daly Ave
Wisconsin Rapids, WI 54494-4702

Mailing address

400 Daly Ave
Wisconsin Rapids, WI 54494-4702
Phone (715) 424-7292

National Provider Directory

National Provider Directory

Locations

400 Daly Ave
Wisconsin Rapids, WI 54494
Phone (715) 424-7292

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1043553365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DALY AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944702",
            "telephone_number": "715-424-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DALY AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944702",
            "telephone_number": "715-424-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERHARDY ACUPUNCTURE CLINIC & HERBAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "EBERHARDY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "715-424-7292",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "696-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.