Active NPI
Cheryl Lynn Mittelstedt, D.C.
- Chiropractor
- Fort Atkinson, WI
National Provider Identifier
1124111752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2196
- Practice address
- 38 Rockwell Ave East
Fort Atkinson, WI 53538-2629 - Phone
- (920) 563-7300
- Fax
- (920) 691-0037
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2196 | WI | Primary |
Addresses
Primary practice location
38 Rockwell Ave East
Fort Atkinson, WI 53538-2629
Mailing address
38 Rockwell Ave East
Fort Atkinson, WI 53538-2629
Phone (920) 563-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2196 | WI | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124111752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 ROCKWELL AVE EAST",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535382629",
"telephone_number": "920-563-7300",
"fax_number": "920-691-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 ROCKWELL AVE EAST",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535382629",
"telephone_number": "920-563-7300",
"fax_number": "920-691-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTELSTEDT",
"first_name": "CHERYL",
"middle_name": "LYNN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Atkinson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.