Individual provider Active NPI

Stephanie Lynn Smith-Whybark, L.AC.

  • Acupuncturist
  • Racine, WI
National Provider Identifier
1659580462
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
448-055 Issued in WI
Practice address
4060 N Main St
Suite106
Racine, WI 53402-3121
Phone
(262) 635-0525
Fax
(262) 639-0524
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 448-055 WI Primary

Addresses

Primary practice location

4060 N Main St
Suite106
Racine, WI 53402-3121

Mailing address

4060 N Main St Ste 106
Racine, WI 53402-3121
Phone (262) 635-0525

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
448-055WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wind Point Acupuncture LLC. Acupuncturist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1659580462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 N MAIN ST STE 106",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023121",
            "telephone_number": "262-635-0525",
            "fax_number": "262-639-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 N MAIN ST",
            "address_2": "SUITE106",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023121",
            "telephone_number": "262-635-0525",
            "fax_number": "262-639-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-WHYBARK",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "448-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.