NPIMap

Organization Active NPI

Aspire Wellness & Lifestyle Center, LLC

  • Acupuncturist
  • Thiensville, WI
National Provider Identifier
1801239744
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
674-55 Issued in WI
Legal business name
ASPIRE WELLNESS & LIFESTYLE CENTER, LLC
Practice address
216 Green Bay Rd
Suite 109
Thiensville, WI 53092-1658
Phone
(262) 478-0030
NPI assigned
Apr 10, 2013
Last updated
Apr 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Jeremy E Gilsoul, C.AC, MSOM
Title
Acupuncturist
Phone
(262) 478-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 674-55 WI Primary

Addresses

Primary practice location

216 Green Bay Rd
Suite 109
Thiensville, WI 53092-1658

Mailing address

216 Green Bay Rd
Suite 109
Thiensville, WI 53092-1658
Phone (262) 478-0030

National Provider Directory

National Provider Directory

Locations

216 Green Bay Rd
Ste 109
Thiensville, WI 53092
Phone (262) 241-5414

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1801239744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD",
            "address_2": "SUITE 109",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921658",
            "telephone_number": "262-478-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD",
            "address_2": "SUITE 109",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921658",
            "telephone_number": "262-478-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE WELLNESS & LIFESTYLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "GILSOUL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "262-478-0030",
        "authorized_official_credential": "C.AC, MSOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "674-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiensville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.