Taryn Lynne Stittleburg, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6400 Issued in MN

Practice address

234800 Deer Creek LN
Edgar, WI 54426

Phone

(715) 391-9671

Fax

(952) 945-9536

NPI assigned

Oct 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Taryn Lynne Stittleburg-Devine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Allied Health of Wisconsin, SC

  dba Allied Health Chiropractic Centers

  • Chiropractor
  • Wausau, WI
  • NPI 1487605051
  NPD (past)
• Integrate Functional Health

  • Professional Counselor
  • Marathon, WI
  • NPI 1952226748
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1255842373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234800 DEER CREEK LN",
            "city": "EDGAR",
            "state": "WI",
            "postal_code": "54426",
            "telephone_number": "952-564-3888",
            "fax_number": "952-945-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234800 DEER CREEK LN",
            "city": "EDGAR",
            "state": "WI",
            "postal_code": "54426",
            "telephone_number": "715-391-9671",
            "fax_number": "952-945-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITTLEBURG",
        "first_name": "TARYN",
        "middle_name": "LYNNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARYN",
            "last_name": "STITTLEBURG-DEVINE",
            "middle_name": "LYNNE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Quirt Family Dentistry, SC (Quirt Family Dentistry - Edgar)
• Jenna Riesen, M.S. CCC-SLP
• Stephanie Ann Rottscheit, M.S. CCC-SLP
• School District of Edgar
• Sport & Spine Clinic LP (Sport & Spine Clinic of Edgar)
• Thomas G Stoffel, MD
• Szmanda Dental Center, SC
• Kim Woller, RN
• Connie Jean Zimmerman, RN

• Chiropractor in Edgar, WI
• Providers in Edgar, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.