Active NPI
Shari Friedrichs, L.AC.
- Acupuncturist
- Beaver Dam, WI
National Provider Identifier
1477910396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 592-055
- Practice address
- 119 E Mackie St
Suite 2
Beaver Dam, WI 53916-2031 - Phone
- (920) 356-1578
- Fax
- (920) 356-9111
- NPI assigned
- Jan 22, 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 | 592-055 | WI | Primary |
Addresses
Primary practice location
119 E Mackie St
Suite 2
Beaver Dam, WI 53916-2031
Mailing address
119 E Mackie St
Suite 2
Beaver Dam, WI 53916-2031
Phone (920) 356-1578
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 |
|---|---|---|---|
| 592-055 | WI | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundance Acupuncture Inc. | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Beaver Dam, WI
- NPI 1891816484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1477910396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 E MACKIE ST",
"address_2": "SUITE 2",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539162031",
"telephone_number": "920-356-1578",
"fax_number": "920-356-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 E MACKIE ST",
"address_2": "SUITE 2",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539162031",
"telephone_number": "920-356-1578",
"fax_number": "920-356-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDRICHS",
"first_name": "SHARI",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-22",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "592-055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver Dam, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.