Jennifer L Vollrath-Grosam, BS, DC, FICPA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3015 Issued in WI

Practice address

721 Cardinal LN
Ste 100
Green Bay, WI 54313-3216

Phone

(920) 434-2221

Fax

(920) 434-2483

NPI assigned

Oct 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Employment Health Services, LLC

  • Clinical Medical Laboratory
  • Green Bay, WI
  • NPI 1811203367
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164502241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11067",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543071067",
            "telephone_number": "920-434-2221",
            "fax_number": "920-434-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CARDINAL LN",
            "address_2": "STE 100",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543133216",
            "telephone_number": "920-434-2221",
            "fax_number": "920-434-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLRATH-GROSAM",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "BS, DC, FICPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38897900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Voigtman, RN, MSN, CPON, ACHPN
• Gayla Vokolek, M.A. CCC-SLP
• Michael J Volk, M.D.
• Angela Marie Vollmer
• Susan Kaye Vollmer, RN,CNNP
• Anne Marie Vollrath, RD
• Jayne E Von Der Linden, MSW
• Timothy Richard Von Seth
• Syphay Vongkhamchanh, CRNA
• Stephanie Lynn Vorpahl

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• 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.

Verify at the official NPI Registry.