Amanda Lynn Whitledge, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4961-12 Issued in WI

Practice address

2753 Wisconsin St
Sturtevant, WI 53177-1827

Phone

(262) 886-8600

Fax

(262) 886-5342

NPI assigned

Feb 28, 2013

Last updated

Feb 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Lynn Nenneman Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whitledge Family Chiropractic LLCGroup PAC ID 7517274087, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Whitledge Family Chiropractic LLC

  • Chiropractor
  • Sturtevant, WI
  • NPI 1861878928
  Medicare reassignment Care Compare group NPD Authorized official
• Goodell Chiropractic Office

  • Chiropractor
  • Sturtevant, WI
  • NPI 1932538923
  NPD (past)

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1003156985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 WISCONSIN ST",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531771827",
            "telephone_number": "262-886-8600",
            "fax_number": "262-886-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 WISCONSIN ST",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531771827",
            "telephone_number": "262-886-8600",
            "fax_number": "262-886-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEDGE",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4961-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "NENNEMAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Guy Vinson, RN
• Lawrence Volkert, DDS
• Charlene Wahlen
• Wal-Mart Stores East, LP (Vision Center 30-2668)
• Whitledge Family Chiropractic LLC
• Laura Wojtak, APNP
• Kwon Chol Yang, DDS

• Chiropractor in Sturtevant, WI
• Providers in Sturtevant, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.