Organization Active NPI

Dr. Stephanie, LLC

  • Acupuncturist
  • Naperville, IL
National Provider Identifier
1174881833
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198000375 Issued in IL
Legal business name
DR. STEPHANIE, LLC
Practice address
148 N Washington St
Naperville, IL 60540-4512
Phone
(630) 961-2893
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Dr. Stephanie Lacey, DIPL., ACUP. LIC. AC
Title
Managing Member
Phone
(630) 961-2893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 198000375 IL Primary

Addresses

Primary practice location

148 N Washington St
Naperville, IL 60540-4512

Mailing address

148 N Washington St
Naperville, IL 60540-4512

National Provider Directory

National Provider Directory
Tax ID family
Dr Stephanie Lacey LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1174881833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 N WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404512",
            "telephone_number": "630-961-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHANIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "LACEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "630-961-2893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DIPL., ACUP. LIC. AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.