Active NPI
Debra Lee Eberhardy, LAC
- Acupuncturist
- Wisconsin Rapids, WI
National Provider Identifier
1588184584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 694-55
- Practice address
- 400 Daly Avenue
Suite 101
Wisconsin Rapids, WI 54494 - Phone
- (715) 424-7292
- Fax
- (715) 424-7285
- NPI assigned
- Jun 21, 2017
- 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 | 694-55 | WI | Primary |
Addresses
Primary practice location
400 Daly Avenue
Suite 101
Wisconsin Rapids, WI 54494
Mailing address
400 Daly Ave Ste 101
Wisconsin Rapids, WI 54494-4702
Phone (715) 424-7292
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 |
|---|---|---|---|
| 694-55 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1588184584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 DALY AVE STE 101",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544944702",
"telephone_number": "715-424-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 DALY AVENUE",
"address_2": "SUITE 101",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "54494",
"telephone_number": "715-424-7292",
"fax_number": "715-424-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERHARDY",
"first_name": "DEBRA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "694-55",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.