Vanessa Jean Tippett, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

866-55 Issued in WI

Practice address

8650 US Highway 51 N
Minocqua, WI 54548-9347

Phone

(715) 220-6574

Fax

(715) 972-8003

NPI assigned

Jan 14, 2016

Last updated

Dec 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vanessa Jean Cram Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seasons of Balance Family Acupuncture

  • Acupuncturist
  • Minocqua, WI
  • NPI 1821628777
  NPD Authorized official

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1457718884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1571",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545681571",
            "telephone_number": "715-220-6574",
            "fax_number": "715-972-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 US HIGHWAY 51 N",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489347",
            "telephone_number": "715-220-6574",
            "fax_number": "715-972-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPETT",
        "first_name": "VANESSA",
        "middle_name": "JEAN",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "866-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "CRAM",
            "middle_name": "JEAN",
            "credential": "L.AC., DIPL.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin L Tadych, MD
• Jennifer Prullage Theuerkauf, OTR
• Wesley David Theuerkauf
• Matthew A Thomas, MD
• Cassandra J. Tiltges, LAT
• James E Tomic, MD
• Lauren Erica Treml, OD
• Kayleigh Trombly-Krall
• John M Twelmeyer, MD
• C Dean Vaughn, MD

• Acupuncturist in Minocqua, WI
• Providers in Minocqua, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.