Individual provider Active NPI

Carolyn June Serier, LAC

  • Acupuncturist
  • Woodville, WI
National Provider Identifier
1700136496
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
310-55 Issued in WI
Practice address
2352 County Rd N
Woodville, WI 54028-7248
Phone
(715) 684-5683
Fax
(715) 684-5788
NPI assigned
Sep 11, 2012
Last updated
Sep 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 310-55 WI Primary

Addresses

Primary practice location

2352 County Rd N
Woodville, WI 54028-7248

Mailing address

2352 County Rd N
Woodville, WI 54028-7248
Phone (715) 684-5683

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
310-55WIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1700136496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 COUNTY RD N",
            "city": "WOODVILLE",
            "state": "WI",
            "postal_code": "540287248",
            "telephone_number": "715-684-5683",
            "fax_number": "715-684-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 COUNTY RD N",
            "city": "WOODVILLE",
            "state": "WI",
            "postal_code": "540287248",
            "telephone_number": "715-684-5683",
            "fax_number": "715-684-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIER",
        "first_name": "CAROLYN",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "310-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.