Active NPI
Laura Christine Gillis, L.AC.
- Acupuncturist
- Shorewood, WI
National Provider Identifier
1396102711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 883-55
- Practice address
- 4601 N Oakland Ave
Shorewood, WI 53211-1232 - Phone
- (866) 855-5365
- NPI assigned
- Jan 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 883-55 | WI | Primary |
Addresses
Primary practice location
4601 N Oakland Ave
Shorewood, WI 53211-1232
Mailing address
4003 N Murray Ave # 1
Shorewood, WI 53211-2351
Phone (414) 331-7573
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 |
|---|---|---|---|
| 883-55 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1396102711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4003 N MURRAY AVE # 1",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "532112351",
"telephone_number": "414-331-7573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 N OAKLAND AVE",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "532111232",
"telephone_number": "866-855-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIS",
"first_name": "LAURA",
"middle_name": "CHRISTINE",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-16",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "883-55",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shorewood, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.