NPIMap

Organization Active NPI

Tea House Acupuncture LLC

  • Acupuncturist
  • Lake Geneva, WI
National Provider Identifier
1326346800
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
706055 Issued in WI
Legal business name
TEA HOUSE ACUPUNCTURE LLC
Practice address
835 Geneva Pkwy N
Suite #3
Lake Geneva, WI 53147-5700
Phone
(262) 248-3800
NPI assigned
Mar 7, 2011
Last updated
Mar 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Juliann Camille Stern, CA, LAC, MSOM
Title
Manager
Phone
(262) 248-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 706055 WI Primary

Addresses

Primary practice location

835 Geneva Pkwy N
Suite #3
Lake Geneva, WI 53147-5700

Mailing address

835 Geneva Pkwy N
Suite #3
Lake Geneva, WI 53147-5700
Phone (262) 248-3800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1326346800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 GENEVA PKWY N",
            "address_2": "SUITE #3",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531475700",
            "telephone_number": "262-248-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 GENEVA PKWY N",
            "address_2": "SUITE #3",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531475700",
            "telephone_number": "262-248-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEA HOUSE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JULIANN",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-248-3800",
        "authorized_official_credential": "CA, LAC, MSOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "706055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.