Individual provider Active NPI

Christina Ada Perri, L.AC

  • Acupuncturist
  • Kenosha, WI
National Provider Identifier
1962705954
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
642-055 Issued in WI
Practice address
5603 7TH Avenue
Kenosha, WI 53140-1198
Phone
(262) 358-0991
NPI assigned
Dec 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 642-055 WI Primary

Addresses

Primary practice location

5603 7TH Avenue
Kenosha, WI 53140-1198

Mailing address

2515 11TH PL
Unit 103
Kenosha, WI 53140-1198
Phone (262) 748-7750

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
642-055WIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1962705954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 11TH PL",
            "address_2": "UNIT 103",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401198",
            "telephone_number": "262-748-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 7TH AVENUE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401198",
            "telephone_number": "262-358-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRI",
        "first_name": "CHRISTINA",
        "middle_name": "ADA",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "642-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.