Organization Active NPI

Livewell Chiropractic & Wellness, LLC.

  • Chiropractor
  • La Crosse, WI
National Provider Identifier
1053615278
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4686-012 Issued in WI
Legal business name
LIVEWELL CHIROPRACTIC & WELLNESS, LLC.
Practice address
1802 State Road 16
La Crosse, WI 54601-3011
Phone
(608) 782-6800
Fax
(608) 782-6802
NPI assigned
Jan 3, 2011
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Dr. Angela Lynn Frank, D.C.NPI 1386947463
Title
Chief Manager
Phone
(608) 782-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4686-012 WI Primary

Addresses

Primary practice location

1802 State Road 16
La Crosse, WI 54601-3011

Mailing address

1802 State Road 16
La Crosse, WI 54601-3011
Phone (608) 782-6800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110325000558 WI Part B Supplier - Clinic/Group Practice 0345423562 Receives reassigned benefits from 1 practitioner
Practice locations: La Crosse, WI

National Provider Directory

National Provider Directory

Locations

219 Pearl St
La Crosse, WI 54601
Phone (608) 782-6800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1053615278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 STATE ROAD 16",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013011",
            "telephone_number": "608-782-6800",
            "fax_number": "608-782-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 STATE ROAD 16",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013011",
            "telephone_number": "608-782-6800",
            "fax_number": "608-782-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL CHIROPRACTIC & WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "608-782-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4686-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.