NPIMap

Individual provider Active NPI

Angela Guerra, L.A.C.

  • Acupuncturist
  • West Bend, WI
National Provider Identifier
1689828261
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
537-055 Issued in WI
Practice address
705 Village Green Way
Suite 105
West Bend, WI 53090-2527
Phone
(262) 685-7661
NPI assigned
Nov 10, 2008
Last updated
Nov 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 537-055 WI Primary

Addresses

Primary practice location

705 Village Green Way
Suite 105
West Bend, WI 53090-2527

Mailing address

235 S 11TH Ave
West Bend, WI 53095-3112
Phone (262) 685-7661

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
537-055WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
River Shores Chiropractic SC Past Accepting new patients
Kettle Moraine Chiropractic Clinic SC Past Accepting new patients

Organizations & group practices 2

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": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1689828261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S 11TH AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953112",
            "telephone_number": "262-685-7661",
            "fax_number": "262-334-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 VILLAGE GREEN WAY",
            "address_2": "SUITE 105",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530902527",
            "telephone_number": "262-685-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "ANGELA",
        "credential": "L.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "537-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.