Jill Shannon Wall, CA

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2008-55 Issued in WI

Practice address

432 Water St
Prairie Du Sac, WI 53578-1127

Phone

(608) 441-9355

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Isthmus Wellness LLC

  • Acupuncturist
  • Madison, WI
  • NPI 1619823192
  NPD (past)

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1649962432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S JOHN ST",
            "city": "MAZOMANIE",
            "state": "WI",
            "postal_code": "535609320",
            "telephone_number": "512-769-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 WATER ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781127",
            "telephone_number": "608-441-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Junction Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537172151",
            "country_code": "US",
            "telephone_number": "608-441-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "JILL",
        "middle_name": "SHANNON",
        "credential": "CA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "2008-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tried and Truce Chiropractic, LLC
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• Robert W Volk, PA
• Jamie Lee Wagner, APNP
• Sandra Marie Wallsch-Drury
• Eric A Warbasse, MD
• Alex David Wedige, DDS
• Mindy Shafer Weigel, LCSW
• Morgan C Wiener, PA

• Acupuncturist in Prairie Du Sac, WI
• Providers in Prairie Du Sac, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.