Individual provider Active NPI

Corrine Elizabeth Rathbun, L.AC., LMT

  • Acupuncturist
  • Oshkosh, WI
National Provider Identifier
1386841245
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
714-55 Issued in WI
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
714-55WIMDAcupuncturist
2710-046WIMDMassage 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.

Verify at the official NPI Registry.