Individual provider Active NPI

Amanda Parish, LAC

  • Acupuncturist
  • Fitchburg, WI
National Provider Identifier
1386901973
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
750-55 Issued in WI
Practice address
5973 Executive Dr Unit 1
Poke Acupuncture C/O Pinnacle Health & Fitness
Fitchburg, WI 53719-5336
Phone
(608) 278-8118
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 750-55 WI Primary

Addresses

Primary practice location

5973 Executive Dr Unit 1
Poke Acupuncture C/O Pinnacle Health & Fitness
Fitchburg, WI 53719-5336

Mailing address

8101 Mayo Dr Apt 317
Madison, WI 53719-4503
Phone (608) 347-3739

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
750-55WIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1386901973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 MAYO DR APT 317",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194503",
            "telephone_number": "608-347-3739",
            "fax_number": "608-754-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5973 EXECUTIVE DR UNIT 1",
            "address_2": "POKE ACUPUNCTURE C/O PINNACLE HEALTH & FITNESS",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195336",
            "telephone_number": "608-278-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISH",
        "first_name": "AMANDA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "750-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.