Individual provider Active NPI

Christie Brianna Wisel, MSTOM, DAOM

  • Acupuncturist
  • Seward, AK
National Provider Identifier
1700445392
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
146324 Issued in AK
Practice address
907 Third Ave # B
Seward, AK 99664-4320
Phone
(907) 987-3213
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 146324 AK Primary

Addresses

Primary practice location

907 Third Ave # B
Seward, AK 99664-4320

Mailing address

PO Box 1201
Seward, AK 99664-1201
Phone (907) 987-3213

Other practice location 1

615 E 82nd Ave Ste 200
Anchorage, AK 99518-3159
Phone (907) 245-7669

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
146324AKMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1700445392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1201",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996641201",
            "telephone_number": "907-987-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 THIRD AVE # B",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996644320",
            "telephone_number": "907-987-3213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E 82nd Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995183159",
            "country_code": "US",
            "telephone_number": "907-245-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEL",
        "first_name": "CHRISTIE",
        "middle_name": "BRIANNA",
        "name_prefix": "Miss",
        "credential": "MSTOM, DAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "146324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seward, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.