Shade of the Tree

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHADE OF THE TREE

Practice address

3013 Zenith Ave Unit B
Spirit Lake, IA 51360-2134

Phone

(712) 330-9140

NPI assigned

Jan 9, 2012

Last updated

Jan 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Gigstad, MANPI 1699076620

Title

Owner

Phone

(712) 330-9140

Specialties & licenses 1

Addresses

Locations

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.

• Daniel Gigstad

  • Addiction (Substance Use Disorder) Counselor
  • Spirit Lake, IA
  • NPI 1699076620
  NPD (past) Authorized official

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1104196096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 LAKE ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 ZENITH AVE UNIT B",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513602134",
            "telephone_number": "712-330-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADE OF THE TREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "GIGSTAD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-330-9140",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Schneider
• Audrey Ann Schoenthal, LMFT, LMHC
• Dawn R Schulz, MA OTR/L
• Schwartz Chiropractic
• Michelle Lee Schwartz-Webb, D.C.
• Sharon Shamburg-Kouanou
• John Sherrill, CRNA
• Matthew Sieperda
• Sioux Falls Vamc
• Melissa Skrepak, LMHC, NCC, PMH-C

• Community/Behavioral Health Agency in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.