MS. STACEY L ANDERSEN LAC WI#803-55/ LMT W
NPI 1376970764
Acupuncturist in Kenosha, WI

Q: What is Stacey Andersen's NPI number?

The NPI number for Stacey Andersen is 1376970764. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Q: What is Stacey Andersen's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Andersen was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 01, 2013

5603 7TH AVE, KENOSHA, WI 53140(262) 496-5642 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Stacey L Andersen Lac Wi#803-55/ Lmt W NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STACEY L ANDERSEN LAC WI#803-55/ LMT W (NPI 1376970764) is an individual acupuncturist in Kenosha, Wisconsin, licensed in Wisconsin (803-55) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1376970764

Entity TypeIndividualFemale

Primary Taxonomy171100000X

Provider Legal NameMS. STACEY L ANDERSENCredential: LAC WI#803-55/ LMT W

Location Address5603 7TH AVEKenosha, WI 53140

Mailing Address8607 Old Green Bay RdKenosha, WI 53158 · (262) 496-5642

Phone(262) 496-5642

Sole ProprietorNo

Enumeration DateOctober 1, 2013

✔ NPI 1376970764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

License✔ Licensed in WI · 803-55

Definition

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.

Also ListedMassage TherapistTaxonomy 225700000X · License 4199-146 (WI)

5603 7TH AVE, Kenosha, WI 53140

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Andersen's NPI number?

The NPI number for Stacey Andersen is 1376970764. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Stacey Andersen located?

Stacey Andersen practices at 5603 7th Ave, Kenosha, WI 53140. The listed phone number is (262) 496-5642.

What is Stacey Andersen's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Stacey Andersen was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.