Individual provider Active NPI

Heather Anne Nicholson, C.A, M.AC, DIPL.AC.

  • Acupuncturist
  • Oshkosh, WI
National Provider Identifier
1447499405
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
531-055 Issued in WI
Practice address
155 N Sawyer St
Oshkosh, WI 54902-5674
Phone
(920) 410-9233
NPI assigned
Feb 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 531-055 WI Primary

Addresses

Primary practice location

155 N Sawyer St
Oshkosh, WI 54902-5674

Mailing address

85 Overland TRL
Oshkosh, WI 54904-7617
Phone (920) 410-9233

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
531-055WIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1447499405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 OVERLAND TRL",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047617",
            "telephone_number": "920-410-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N SAWYER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025674",
            "telephone_number": "920-410-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "C.A, M.AC, DIPL.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "531-055",
            "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 Feb 19, 2015; 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.