Individual provider Active NPI

Lynda L Keipe, C.A., DIPL. AC.

  • Acupuncturist
  • Portage, WI
National Provider Identifier
1861861387
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
410-055 Issued in WI
Practice address
2910 New Pinery Rd Ste B
Portage, WI 53901-9292
Phone
(608) 742-2591
NPI assigned
Sep 15, 2015
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 410-055 WI Primary

Addresses

Primary practice location

2910 New Pinery Rd Ste B
Portage, WI 53901-9292

Mailing address

2910 New Pinery Rd Ste B
Portage, WI 53901-9292
Phone (608) 742-2591

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
410-055WIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1861861387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 NEW PINERY RD STE B",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019292",
            "telephone_number": "608-742-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 NEW PINERY RD STE B",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019292",
            "telephone_number": "608-742-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIPE",
        "first_name": "LYNDA",
        "middle_name": "L",
        "credential": "C.A., DIPL. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "410-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, WI

Sources for this page

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