Active NPI
Lindsey Marie Wyatt, DIPL. AC, L.AC,
- Acupuncturist
- Pleasant Ridge, MI
National Provider Identifier
1538730924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 5402000051
- Practice address
- 23650 Woodward Ave Ste 108
Pleasant Ridge, MI 48069-1141 - Phone
- (248) 318-8615
- NPI assigned
- Jul 7, 2021
- 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 | 5402000051 | MI | Primary |
Addresses
Primary practice location
23650 Woodward Ave Ste 108
Pleasant Ridge, MI 48069-1141
Mailing address
367 W Pearl Ave
Hazel Park, MI 48030-1734
Phone (248) 318-8615
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5402000051 | MI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1538730924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 W PEARL AVE",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301734",
"telephone_number": "248-318-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23650 WOODWARD AVE STE 108",
"city": "PLEASANT RIDGE",
"state": "MI",
"postal_code": "480691141",
"telephone_number": "248-318-8615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "LINDSEY",
"middle_name": "MARIE",
"credential": "DIPL. AC, L.AC,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MI",
"license": "5402000051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Ridge, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.