Individual provider Active NPI

Amy Hamlin, D.C.

  • Chiropractor
  • Hudson, WI
National Provider Identifier
1194021543
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5701-12 Issued in WI
Practice address
511 2ND St Ste 14
Hudson, WI 54016-1532
Phone
(715) 808-0393
NPI assigned
Feb 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5482 MN
Chiropractor 111N00000X 5701-12 WI Primary

Addresses

Primary practice location

511 2ND St Ste 14
Hudson, WI 54016-1532

Mailing address

511 2ND St Ste 14
Hudson, WI 54016-1532
Phone (715) 808-0393

Other practice location 1

1815 Suburban Ave
Saint Paul, MN 55119-4302
Phone (651) 731-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516001777 WI Practitioner - Chiropractic 1254517915 Reassigns benefits to 1 organization
Practice locations: Hudson, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

511 2ND St
Suite 14
Hudson, WI 54016-1532
Phone (715) 808-0393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5701-12WIMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Healthy Chiropractic CurrentSince Oct 25, 2022 Accepting new patients

Locations

511 2nd St
Ste 14
Hudson, WI 54016
Phone (715) 808-0393

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1194021543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 2ND ST STE 14",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161532",
            "telephone_number": "715-808-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 2ND ST STE 14",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161532",
            "telephone_number": "715-808-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Suburban Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551194302",
            "country_code": "US",
            "telephone_number": "651-731-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5482",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5701-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.