Active NPI
Corrine Elizabeth Rathbun, L.AC., LMT
- Acupuncturist
- Oshkosh, WI
National Provider Identifier
1386841245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 714-55
- Practice address
- 711 Oregon St
Oshkosh, WI 54902-5967 - Phone
- (920) 216-9791
- Fax
- (920) 385-4995
- NPI assigned
- Jul 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2710-046 | WI | |
| Acupuncturist | 171100000X | 714-55 | WI | Primary |
Addresses
Primary practice location
711 Oregon St
Oshkosh, WI 54902-5967
Mailing address
711 Oregon St
Oshkosh, WI 54902-5967
Phone (920) 216-9791
Other practice location 1
146 Algoma Blvd
Suite E
Oshkosh, WI 54901-4891
Phone (920) 230-2650
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 |
|---|---|---|---|
| 714-55 | WI | MD | Acupuncturist |
| 2710-046 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1386841245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 OREGON ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549025967",
"telephone_number": "920-216-9791",
"fax_number": "920-385-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 OREGON ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549025967",
"telephone_number": "920-216-9791",
"fax_number": "920-385-4995"
}
],
"practiceLocations": [
{
"address_1": "146 Algoma Blvd",
"address_2": "Suite E",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549014891",
"country_code": "US",
"telephone_number": "920-230-2650",
"fax_number": "920-230-2651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RATHBUN",
"first_name": "CORRINE",
"middle_name": "ELIZABETH",
"credential": "L.AC., LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "2710-046",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "714-55",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.