Individual provider Active NPI

Ashley Oberbroeckling, L.AC, M.AC, L.M.T

  • Acupuncturist
  • Lancaster, WI
National Provider Identifier
1548810393
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
923-55 Issued in WI
Practice address
507 S Monroe St
Lancaster, WI 53813-2054
Phone
(608) 723-3236
NPI assigned
Sep 13, 2019
Last updated
Sep 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 923-55 WI Primary

Addresses

Primary practice location

507 S Monroe St
Lancaster, WI 53813-2054

Mailing address

507 S Monroe St
Lancaster, WI 53813-2099
Phone (608) 723-3236

Other practice location 1

3375 Lake Ridge Dr
Dubuque, IA 52003-7864
Phone (563) 542-6906

Other practice location 2

246 S Roosevelt St
Lancaster, WI 53813-9322
Phone (563) 542-6906

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
923-55WIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1548810393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MONROE ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132099",
            "telephone_number": "608-723-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S MONROE ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132054",
            "telephone_number": "608-723-3236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3375 Lake Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520037864",
            "country_code": "US",
            "telephone_number": "563-542-6906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "246 S Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "WI",
            "postal_code": "538139322",
            "country_code": "US",
            "telephone_number": "563-542-6906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERBROECKLING",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "L.AC, M.AC, L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "923-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.