Issabella Veronica Johnson, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6129-12 Issued in WI

Practice address

W5675 County Hwy B
Shawano, WI 54166-5416

Phone

(715) 526-6158

NPI assigned

Oct 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Countryview Chiropractic Clinic SCGroup PAC ID 7810088333, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Countryview Chiropractic Clinic, S.C.

  • Chiropractor
  • Shawano, WI
  • NPI 1316095185
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1083486617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8573 CLOVERLEAF LAKE RD",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549298510",
            "telephone_number": "715-250-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5675 COUNTY HWY B",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541665416",
            "telephone_number": "715-526-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ISSABELLA",
        "middle_name": "VERONICA",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6129-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavonne Jacobson, CSAC
• Michaela James, FNP-C
• Donna M Jashinsky, MS LPC
• Rachel Jenewein
• Rita Jerabek, NP
• Luke T Johnson, M.S., CCC-SLP
• Sonya M Jones, OT
• Lori Lea Kagerbauer, RPH
• Jenna Kristine Keller
• Elizabeth Kathleen Kelley, LPN/RCS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.