Individual provider Active NPI

Aimee Brown, MSOM, L.AC.

  • Acupuncturist
  • Oconomowoc, WI
National Provider Identifier
1063699130
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
WI 342-055 Issued in WI
Practice address
N56W39325 Wisconsin Ave Unit C
Oconomowoc, WI 53066-2192
Phone
(414) 416-3278
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X WI 342-055 WI Primary

Addresses

Primary practice location

N56W39325 Wisconsin Ave Unit C
Oconomowoc, WI 53066-2192

Mailing address

N56W39325 Wisconsin Ave Unit C
Oconomowoc, WI 53066-2192
Phone (414) 416-3278

Other practice location 1

1166 Quail Ct Ste 210
Pewaukee, WI 53072-3775
Phone (262) 695-5311

Other identifiers 1

IdentifierTypeStateIssuer
1063699130OtherWII DONT KNOW

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

State licenses

LicenseStateTypeSpecialty
WI 342-055WIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1063699130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N56W39325 WISCONSIN AVE UNIT C",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662192",
            "telephone_number": "414-416-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N56W39325 WISCONSIN AVE UNIT C",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662192",
            "telephone_number": "414-416-3278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1166 Quail Ct Ste 210",
            "address_purpose": "LOCATION",
            "city": "Pewaukee",
            "state": "WI",
            "postal_code": "530723775",
            "country_code": "US",
            "telephone_number": "262-695-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AIMEE",
        "name_prefix": "Ms.",
        "credential": "MSOM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "WI 342-055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DONT KNOW",
            "identifier": "1063699130",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.