Active NPI
Stephanie Leigh Gottschalk, L.AC.
- Acupuncturist
- Fairbanks, AK
National Provider Identifier
1861936791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 116031
- Practice address
- 1222 Well St
Suite 1
Fairbanks, AK 99701-2835 - Phone
- (907) 458-7423
- NPI assigned
- Dec 12, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 116031 | AK | Primary |
Addresses
Primary practice location
1222 Well St
Suite 1
Fairbanks, AK 99701-2835
Mailing address
1411 Hans Way
Fairbanks, AK 99709-2635
Phone (907) 978-3101
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
| License | State | Type | Specialty |
|---|---|---|---|
| 116031 | AK | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acutribe LLC | Acupuncturist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1861936791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 HANS WAY",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997092635",
"telephone_number": "907-978-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 WELL ST",
"address_2": "SUITE 1",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997012835",
"telephone_number": "907-458-7423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTSCHALK",
"first_name": "STEPHANIE",
"middle_name": "LEIGH",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-12",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AK",
"license": "116031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.