Active NPI
Tammi Lynn Hagensick, D.C.
- Chiropractor
- Sun Prairie, WI
National Provider Identifier
1215470570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5227-12
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5227-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakke Chiropractic Clinic SC | Chiropractor | Current | 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.
-
- Chiropractor
- Deforest, WI
- NPI 1306915079
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.