Active NPI
Jennifer Ann Blahnik, OMD
- Acupuncturist
- Wausau, WI
National Provider Identifier
1124656251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 451-001
- Practice address
- 3000 Emery Dr
Wausau, WI 54401-9710 - Phone
- (715) 675-6771
- Fax
- (715) 803-2861
- NPI assigned
- Apr 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 451-001 | WI | Primary |
Addresses
Primary practice location
3000 Emery Dr
Wausau, WI 54401-9710
Mailing address
3000 Emery Dr
Wausau, WI 54401-9710
Phone (715) 675-6771
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | thermalimaging@yahoo.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 451-001 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1124656251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 EMERY DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544019710",
"telephone_number": "715-675-6771",
"fax_number": "715-803-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 EMERY DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544019710",
"telephone_number": "715-675-6771",
"fax_number": "715-803-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAHNIK",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "OMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "451-001",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "thermalimaging@yahoo.com",
"affiliation": "N",
"endpointDescription": "Clinic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3000 Emery Dr",
"city": "Wausau",
"state": "WI",
"country_code": "US",
"postal_code": "544019710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.