Individual provider Active NPI

Kari Cobb, L.AC., DACM

  • Acupuncturist
  • Fond Du Lac, WI
National Provider Identifier
1841366077
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
401-55 Issued in WI
Practice address
885 Western Ave
Suite 500
Fond Du Lac, WI 54935-3874
Phone
(920) 602-7915
Fax
(920) 273-3776
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 401-55 WI Primary

Addresses

Primary practice location

885 Western Ave
Suite 500
Fond Du Lac, WI 54935-3874

Mailing address

885 Western Ave Ste 500
Fond Du Lac, WI 54935-3880
Phone (920) 602-7915

Other practice location 1

W175N11117 Stonewood Dr Ste 211
Germantown, WI 53022-6506
Phone (920) 602-7915

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

LicenseStateTypeSpecialty
401-55WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Fond Du Lac Acupuncture Clinic LLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

885 Western Ave
Ste 500
Fond du Lac, WI 54935
Phone (920) 602-7915

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1841366077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 WESTERN AVE STE 500",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353880",
            "telephone_number": "920-602-7915",
            "fax_number": "920-273-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WESTERN AVE",
            "address_2": "SUITE 500",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353874",
            "telephone_number": "920-602-7915",
            "fax_number": "920-273-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W175N11117 Stonewood Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "WI",
            "postal_code": "530226506",
            "country_code": "US",
            "telephone_number": "920-602-7915",
            "fax_number": "920-273-3776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBB",
        "first_name": "KARI",
        "credential": "L.AC., DACM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "401-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.