Organization Active NPI

Embracing Life Chiropractic, LLC

  • Chiropractor
  • Stevens Point, WI
National Provider Identifier
1184136111
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5159-12 Issued in WI
Legal business name
EMBRACING LIFE CHIROPRACTIC, LLC
Practice address
1205 2ND St
Stevens Point, WI 54481-2609
Phone
(715) 997-9330
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Nicole Mattson, DC
Title
Owner
Phone
(715) 997-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5159-12 WI Primary

Addresses

Primary practice location

1205 2ND St
Stevens Point, WI 54481-2609

Mailing address

1205 2ND St
Stevens Point, WI 54481-2609
Phone (715) 997-9330

National Provider Directory

National Provider Directory

Locations

1205 2nd St
Stevens Point, WI 54481
Phone (715) 997-9330

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1184136111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 2ND ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812609",
            "telephone_number": "715-997-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 2ND ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812609",
            "telephone_number": "715-997-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-997-9330",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5159-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.