Active NPI
Annette Phyllis Adametz, L.A.C.
- Acupuncturist
- Madison, WI
National Provider Identifier
1558640441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 612-055
- Practice address
- 715 Hill St
Madison, WI 53705-3542 - Phone
- (608) 577-9642
- NPI assigned
- Aug 9, 2011
- Last updated
- Aug 9, 2011
- 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 | 612-055 | WI | Primary |
Addresses
Primary practice location
715 Hill St
Madison, WI 53705-3542
Mailing address
600 Hamilton St
Stoughton, WI 53589-2022
Phone (608) 577-9642
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 |
|---|---|---|---|
| 612-055 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1558640441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HAMILTON ST",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535892022",
"telephone_number": "608-577-9642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 HILL ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537053542",
"telephone_number": "608-577-9642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMETZ",
"first_name": "ANNETTE",
"middle_name": "PHYLLIS",
"credential": "L.A.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-09",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "612-055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
- Activeear, LLC (Madison Hearing Aid Center)
- Actra Rehabilitation Associates Inc (NovaCare Prosthetics & Orthotics)
- John Adair, M.D
- Adam Howarth Consulting LLC (Adam Howarth Therapy)
- Gabriela Adame Barcenas
- Alexandra K Adams, MD PHD
- Amanda M Adams, NP
- Axel John Adams
- Caroline Adams, RN, BSN
- Carolyn Adams, RRT, RRT-NPS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.