Individual provider Active NPI

Tammi Lynn Hagensick, D.C.

  • Chiropractor
  • Sun Prairie, WI
National Provider Identifier
1215470570
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5227-12 Issued in WI
Practice address
725 W Main St
Sun Prairie, WI 53590-2811
Phone
(608) 837-7600
Fax
(608) 837-0633
NPI assigned
Nov 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5227-12 WI Primary

Addresses

Primary practice location

725 W Main St
Sun Prairie, WI 53590-2811

Mailing address

312 E North St
Deforest, WI 53532-1258
Phone (608) 846-3337

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5227-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bakke Chiropractic Clinic SC Chiropractor CurrentSince Dec 4, 2016 Accepting new patients

Locations

312 E North St
Deforest, WI 53532
Phone (608) 846-3333

725 W Main St
Ste A
Sun Prairie, WI 53590
Phone (608) 837-7600

725 W Main St
Sun Prairie, WI 53590
Phone (608) 837-7600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1215470570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E NORTH ST",
            "city": "DEFOREST",
            "state": "WI",
            "postal_code": "535321258",
            "telephone_number": "608-846-3337",
            "fax_number": "608-846-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902811",
            "telephone_number": "608-837-7600",
            "fax_number": "608-837-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENSICK",
        "first_name": "TAMMI",
        "middle_name": "LYNN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5227-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.