MS. STACEY L ANDERSEN (NPI# 1376970764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376970764 |
| Entity Type | Individual |
| Full Name | MS. STACEY L ANDERSEN |
| Credential | LAC WI#803-55/ LMT W |
| Practice Address |
5603 7th Ave Kenosha WI 53140 |
| Mailing Address |
8607 Old Green Bay Rd Kenosha WI 53158 |
| Practice Telephone | 2624965642 |
| Mailing Telephone | 2624965642 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 803-55 | WI | Other Service Providers |
| N | 225700000X | Massage Therapist | 4199-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5603 7TH AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| 1740326370 | Paul Michael Defazio | Social Worker | 3734 7th Avenue, Suite 24, Kenosha, WI 53140 | 2007-01-30 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689236291 | Jeanne Stark Casadont | Acupuncturist | 7600 75th St Ste 122, Kenosha, WI 53142-7697 | 2019-07-03 |
| 1477063352 | Three Moons Acupuncture, LLC | Acupuncturist | 310 Old Green Bay Rd, Kenosha, WI 53144-1125 | 2017-10-05 |
| 1316392178 | Patricia Fullin | Acupuncturist | 4211 Green Bay Rd, Kenosha, WI 53144-4521 | 2016-04-29 |
| 1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
| 1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
| 1922418433 | Courtney Folger Mui | Acupuncturist | 4413 6th Ave, 2, Kenosha, WI 53140-2933 | 2014-05-06 |
| 1871847707 | In Balance Acupuncture & Wellness Center, LLC | Acupuncturist | 5906 39th Ave, Kenosha, WI 53144-2738 | 2012-10-30 |
| 1962705954 | Christina Ada Perri | Acupuncturist | 5603 7th Avenue, Kenosha, WI 53140-1198 | 2010-12-13 |
| 1457651978 | Kristin J Cabranes | Acupuncturist | 1119 60th St, Kenosha, WI 53140-4044 | 2010-11-01 |
| 1194056291 | Sidong Chen | Acupuncturist | 6401 Sheridan Rd, Kenosha, WI 53143-5027 | 2010-01-29 |
| Find all providers in KENOSHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.