Active NPI
Renee Bernadette Debruin, DIPL. AC.
- Acupuncturist
- Whitelaw, WI
National Provider Identifier
1932361268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 199-055
- Practice address
- 9928 Diamond Rd
Whitelaw, WI 54247-9758 - Phone
- (920) 980-0929
- NPI assigned
- Jun 27, 2008
- Last updated
- Jun 27, 2008
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 199-055 | WI | Primary |
Addresses
Primary practice location
9928 Diamond Rd
Whitelaw, WI 54247-9758
Mailing address
9928 Diamond Rd
Whitelaw, WI 54247-9758
Phone (920) 980-0929
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 |
|---|---|---|---|
| 199-055 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1932361268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9928 DIAMOND RD",
"city": "WHITELAW",
"state": "WI",
"postal_code": "542479758",
"telephone_number": "920-980-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9928 DIAMOND RD",
"city": "WHITELAW",
"state": "WI",
"postal_code": "542479758",
"telephone_number": "920-980-0929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBRUIN",
"first_name": "RENEE",
"middle_name": "BERNADETTE",
"name_prefix": "Ms.",
"credential": "DIPL. AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "199-055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitelaw, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.