Individual provider Active NPI

Valerie Lyvers, LAC, DIPL.OM

  • Acupuncturist
  • Mount Pleasant, WI
National Provider Identifier
1477044485
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1011-55 Issued in WI
Practice address
4900 Spring St Ste 101
Mount Pleasant, WI 53406-2920
Phone
(574) 309-2966
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1011-55 WI Primary

Addresses

Primary practice location

4900 Spring St Ste 101
Mount Pleasant, WI 53406-2920

Mailing address

1401 Wisconsin Ave
Racine, WI 53403-1980
Phone (574) 309-2966

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
1011-55WIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1477044485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 WISCONSIN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031980",
            "telephone_number": "574-309-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SPRING ST STE 101",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534062920",
            "telephone_number": "574-309-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYVERS",
        "first_name": "VALERIE",
        "credential": "LAC, DIPL.OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "1011-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.