Amanda Arlene Mehner, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10312-146 Issued in WI

Practice address

612 S Wells St
Suite C
Lake Geneva, WI 53147-2159

Phone

(262) 248-8177

Fax

(262) 248-6393

NPI assigned

Dec 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Arlene Carpenter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lake Geneva Chiropractic Partners

  • Chiropractor
  • Lake Geneva, WI
  • NPI 1407946254
  NPD (past)

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1245575844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S WELLS ST",
            "address_2": "SUITE C",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531472159",
            "telephone_number": "262-248-8177",
            "fax_number": "262-248-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S WELLS ST",
            "address_2": "SUITE C",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531472159",
            "telephone_number": "262-248-8177",
            "fax_number": "262-248-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHNER",
        "first_name": "AMANDA",
        "middle_name": "ARLENE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "10312-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CARPENTER",
            "middle_name": "ARLENE",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krista C Martin, COTA
• Todd C Martin, DDS
• Monica E Marton, RN
• Cheryl Ann Matchen, R.N.
• Mary McKeown, LPC
• Barbara Lynn Mehnert, L.P.C.
• Mercy Health System Corporation
• Mercy Health System Corporation
• Mercy Health System Corporation
• Mercy Health System Corporation

• Massage Therapist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.