NPIMap

Organization Active NPI

Wisconsin Center for Integrative Health, SC

  • Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1154838951
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3815-33 Issued in WI
Legal business name
WISCONSIN CENTER FOR INTEGRATIVE HEALTH, SC
Practice address
3814 Oakwood Hills Pkwy
Eau Claire, WI 54701-7757
Phone
(715) 833-8777
Fax
(715) 833-8774
NPI assigned
Jan 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Lisa M. Tenold, DCNPI 1831207778
Title
Owner/VP
Phone
(715) 833-8777

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2095-12 WI
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4744-012 WI
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 2613-12 WI
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 3815-33 WI Primary

Addresses

Primary practice location

3814 Oakwood Hills Pkwy
Eau Claire, WI 54701-7757

Mailing address

3814 Oakwood Hills Pkwy
Eau Claire, WI 54701-7757
Phone (715) 833-8777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1154838951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 OAKWOOD HILLS PKWY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017757",
            "telephone_number": "715-833-8777",
            "fax_number": "715-833-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 OAKWOOD HILLS PKWY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017757",
            "telephone_number": "715-833-8777",
            "fax_number": "715-833-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN CENTER FOR INTEGRATIVE HEALTH, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "TENOLD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/VP",
        "authorized_official_telephone_number": "715-833-8777",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2095-12",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4744-012",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WI",
            "license": "2613-12",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3815-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.