Active NPI
Elizabeth J Mierendorf, C.A., MAOM, ATC
- Acupuncturist
- Madison, WI
National Provider Identifier
1710246020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 733-055
- Practice address
- 890 W Wingra Dr
Madison, WI 53715-1942 - Phone
- (608) 516-8949
- NPI assigned
- May 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 733-055 | WI | Primary |
Addresses
Primary practice location
890 W Wingra Dr
Madison, WI 53715-1942
Mailing address
890 W Wingra Dr
Madison, WI 53715-1942
Phone (608) 516-8949
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
| License | State | Type | Specialty |
|---|---|---|---|
| 733-055 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1710246020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 W WINGRA DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537151942",
"telephone_number": "608-516-8949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 W WINGRA DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537151942",
"telephone_number": "608-516-8949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIERENDORF",
"first_name": "ELIZABETH",
"middle_name": "J",
"credential": "C.A., MAOM, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "733-055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
- Midwest Center for Human Services LLP
- Midwest Jaw Relief SC
- Midwest Plastic and Reconstructive Surgery, Inc.
- Midwestern Center for Plastic Surgery
- James A Miedaner
- Ashton Hope Mieritz, CRNA
- Cynthia A Mierow-Spetz, OTR, CHT
- Heidi Miess-Gladding, NNP-BC
- Jonathan James Mietchen, T-LMLP
- Rachel Rongstad Mifflin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.