Individual provider Active NPI

Maria Lynn Johnson Narveson, L.AC.

  • Acupuncturist
  • Rice Lake, WI
National Provider Identifier
1609284447
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
836-55 Issued in WI
Practice address
610 West Ave Ste a-2
Rice Lake, WI 54868-1386
Phone
(715) 296-7467
Fax
(888) 262-0191
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 836-55 WI Primary

Addresses

Primary practice location

610 West Ave Ste a-2
Rice Lake, WI 54868-1386

Mailing address

610 West Ave Ste a-2
Rice Lake, WI 54868-1386
Phone (715) 296-7467

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
836-55WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Point of Prosperity, LLC CurrentSince Jul 7, 2024 Accepting new patients
Stephens Chiropractic, S.C. PastSince Mar 1, 2024 Accepting new patients
Priority Chiropractic Wellness Center, LLC Past Accepting new patients

Locations

610 West Ave
Ste A2
Rice Lake, WI 54868
Phone (715) 296-7467

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1609284447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WEST AVE STE A-2",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681386",
            "telephone_number": "715-296-7467",
            "fax_number": "888-262-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WEST AVE STE A-2",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681386",
            "telephone_number": "715-296-7467",
            "fax_number": "888-262-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON NARVESON",
        "first_name": "MARIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "836-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.