Active NPI
Bethani L Bachus, LAC
- Acupuncturist
- West Milwaukee, WI
National Provider Identifier
1508125154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 682-55
- Practice address
- 4805 W National Ave
West Milwaukee, WI 53214-3523 - Phone
- (414) 380-9749
- NPI assigned
- May 16, 2012
- Last updated
- May 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 682-55 | WI | Primary |
Addresses
Primary practice location
4805 W National Ave
West Milwaukee, WI 53214-3523
Mailing address
4805 W National Ave
West Milwaukee, WI 53214-3523
Phone (414) 380-9749
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 |
|---|---|---|---|
| 682-55 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1508125154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 W NATIONAL AVE",
"city": "WEST MILWAUKEE",
"state": "WI",
"postal_code": "532143523",
"telephone_number": "414-380-9749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 W NATIONAL AVE",
"city": "WEST MILWAUKEE",
"state": "WI",
"postal_code": "532143523",
"telephone_number": "414-380-9749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHUS",
"first_name": "BETHANI",
"middle_name": "L",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "682-55",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Milwaukee, WI
- Altcare Health Services Inc (Altscripts Specialty Pharmacy)
- Altcare Health Services Inc (Altscripts Specialty Pharmacy)
- Altcare Health Services Inc (AltScripts Specialty Pharmacy)
- Omar Arshad, D.M.D.
- Aurora Pharmacy Inc (Aurora Pharmacy)
- Jasmine Monique Balderas, LPN
- Jessica Barker, RN
- Debra Barkley
- Jaylah U Batemon, SAC-IT
- Rosa Maria Brittain, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.