Active NPI
Jill Lundberg, RYT
- Contractor
- Fitchburg, WI
National Provider Identifier
1861808495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 117062
- Practice address
- 5927 Schumann Dr
Fitchburg, WI 53711-5104 - Phone
- (608) 444-7035
- NPI assigned
- Jul 2, 2014
- Last updated
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 117062 | Primary |
Addresses
Primary practice location
5927 Schumann Dr
Fitchburg, WI 53711-5104
Mailing address
5927 Schumann Dr
Fitchburg, WI 53711-5104
Phone (608) 444-7035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117062 | Other | YOGA ALLIANCE REGISTRY ID |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1861808495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5927 SCHUMANN DR",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115104",
"telephone_number": "608-444-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5927 SCHUMANN DR",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115104",
"telephone_number": "608-444-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDBERG",
"first_name": "JILL",
"credential": "RYT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": "117062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "YOGA ALLIANCE REGISTRY ID",
"identifier": "117062",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.