Individual provider Active NPI

Lauren Hanson-Sithisane, D.C.

  • Chiropractor
  • Cottage Grove, MN
National Provider Identifier
1023657384
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6676 Issued in MN
Practice address
8617 W Point Douglas Rd S Ste 110
Cottage Grove, MN 55016-4122
Phone
(651) 459-2000
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6676 MN Primary

Addresses

Primary practice location

8617 W Point Douglas Rd S Ste 110
Cottage Grove, MN 55016-4122

Mailing address

8617 W Point Douglas Rd S Ste 110
Cottage Grove, MN 55016-4122
Phone (651) 459-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200115001025 MN Practitioner - Chiropractic 0547695876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whole Health Chiropractic PCGroup PAC ID 4688900376, 4 clinicians

Practice addresses (Care Compare)

8617 W Point Douglas Rd S
Suite 110
Cottage Grove, MN 55016-4122
Phone (651) 459-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6676MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Chiropractic PC Chiropractor CurrentSince Jan 1, 2020 Accepting new patients
Whole Health Massage LLC Past Accepting new patients

Locations

8800 E Point Douglas Rd S
Ste 500
Cottage Grove, MN 55016
Phone (651) 459-2000

8800 E Point Douglas Rd S
Cottage Grove, MN 55016

8617 W Point Douglas Rd S
Ste 110
Cottage Grove, MN 55016
Phone (651) 459-2000

8800 E Point Douglas Rd S
Ste 100
Cottage Grove, MN 55016
Phone (651) 459-5655

8800 E Point Douglas Rd S
Ste 800
Cottage Grove, MN 55016

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1023657384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 W POINT DOUGLAS RD S STE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164122",
            "telephone_number": "651-459-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8617 W POINT DOUGLAS RD S STE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164122",
            "telephone_number": "651-459-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON-SITHISANE",
        "first_name": "LAUREN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.