Organization Active NPI

Moxie Medispa LLC

  • Clinic/Center
  • Menomonee Falls, WI
National Provider Identifier
1750177481
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MOXIE MEDISPA LLC
Practice address
N72W13350 Lund LN
Menomonee Falls, WI 53051-4674
Phone
(262) 350-9888
NPI assigned
Apr 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Alex Amanda Foley, APRNNPI 1033764675
Title
Founder
Phone
(414) 322-5643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

N72W13350 Lund LN
Menomonee Falls, WI 53051-4674

Mailing address

N72W13350 Lund LN
Menomonee Falls, WI 53051-4674
Phone (262) 350-9888

National Provider Directory

National Provider Directory

Locations

N72W13350 Lund Ln
Menomonee Falls, WI 53051

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1750177481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N72W13350 LUND LN",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514674",
            "telephone_number": "262-350-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N72W13350 LUND LN",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514674",
            "telephone_number": "262-350-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOXIE MEDISPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "414-322-5643",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.