Clairissa Vouga, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1015-55 Issued in WI

Practice address

3278 Main St
East Troy, WI 53120-1152

Phone

(262) 853-6129

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1831847235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W334S5310 RED FOX WAY",
            "city": "NORTH PRAIRIE",
            "state": "WI",
            "postal_code": "531539739",
            "telephone_number": "262-853-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3278 MAIN ST",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531201152",
            "telephone_number": "262-853-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOUGA",
        "first_name": "CLAIRISSA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "1015-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Clairissa.vouga@me.com",
            "affiliation": "N",
            "address_1": "3278 Main St",
            "city": "East Troy",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531201152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Acupuncturist in East Troy, WI
• Providers in East Troy, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.