NPIMap

Organization Active NPI

Veteran Sanctuary LLC

  • Acupuncturist
  • Milwaukee, WI
National Provider Identifier
1336854215
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
VETERAN SANCTUARY LLC
Practice address
4813 W National Ave
Milwaukee, WI 53214-3523
Phone
(414) 502-8235
NPI assigned
Jan 16, 2023
Last updated
Jan 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Takhinsha Hollis, LACNPI 1023782950
Title
Owner/Acupuncturist
Phone
(229) 733-8016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

4813 W National Ave
Milwaukee, WI 53214-3523

Mailing address

S30W30370 Sunset Dr
Waukesha, WI 53189-9007
Phone (229) 733-8016

National Provider Directory

National Provider Directory

Locations

4813 W National Ave
Milwaukee, WI 53214
Phone (414) 502-8235

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1336854215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S30W30370 SUNSET DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531899007",
            "telephone_number": "229-733-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 W NATIONAL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143523",
            "telephone_number": "414-502-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERAN SANCTUARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "TAKHINSHA",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "229-733-8016",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.