Active NPI
Amy Rieselman, LAC.
- Acupuncturist
- Lisle, IL
National Provider Identifier
1497197412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198000605
- Practice address
- 4513 Lincoln Ave
Suite 212
Lisle, IL 60532-1289 - Phone
- (630) 795-1889
- NPI assigned
- Jul 18, 2013
- Last updated
- Jul 18, 2013
- 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 | 198000605 | IL | Primary |
Addresses
Primary practice location
4513 Lincoln Ave
Suite 212
Lisle, IL 60532-1289
Mailing address
4513 Lincoln Ave
Suite 212
Lisle, IL 60532-1289
Phone (630) 795-1889
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 |
|---|---|---|---|
| 198000605 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1497197412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4513 LINCOLN AVE",
"address_2": "SUITE 212",
"city": "LISLE",
"state": "IL",
"postal_code": "605321289",
"telephone_number": "630-795-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4513 LINCOLN AVE",
"address_2": "SUITE 212",
"city": "LISLE",
"state": "IL",
"postal_code": "605321289",
"telephone_number": "630-795-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIESELMAN",
"first_name": "AMY",
"credential": "LAC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198000605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.