NPIMap

Organization Active NPI

New Image Weight Loss and Spa Center LLC

  • Clinic/Center
  • Brown Deer, WI
National Provider Identifier
1790152262
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5455-33 Issued in WI
Legal business name
NEW IMAGE WEIGHT LOSS AND SPA CENTER LLC
Practice address
5678 W Brown Deer Rd
Brown Deer, WI 53223-2356
Phone
(414) 732-6132
NPI assigned
Aug 31, 2015
Last updated
Aug 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Angela Aryeetey, APNP
Title
President
Phone
(414) 732-6132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5455-33 WI Primary

Addresses

Primary practice location

5678 W Brown Deer Rd
Brown Deer, WI 53223-2356

Mailing address

5678 W Brown Deer Rd
Brown Deer, WI 53223-2356
Phone (414) 732-6132

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1790152262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5678 W BROWN DEER RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232356",
            "telephone_number": "414-732-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5678 W BROWN DEER RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232356",
            "telephone_number": "414-732-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE WEIGHT LOSS AND SPA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "ARYEETEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-732-6132",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "5455-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.