Individual provider Active NPI

Nicole Lynn Pleggenkuhle, DC

  • Chiropractor
  • Onalaska, WI
National Provider Identifier
1285252585
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5505-12 Issued in WI
Practice address
923 12TH Ave S Ste 105
Onalaska, WI 54650-4302
Phone
(608) 790-9155
Fax
(608) 790-9154
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5505-12 WI Primary

Addresses

Primary practice location

923 12TH Ave S Ste 105
Onalaska, WI 54650-4302

Mailing address

923 12TH Ave S Ste 105
Onalaska, WI 54650-4302
Phone (608) 790-9155

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
5505-12WIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1285252585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 12TH AVE S STE 105",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546504302",
            "telephone_number": "608-790-9155",
            "fax_number": "608-790-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 12TH AVE S STE 105",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546504302",
            "telephone_number": "608-790-9155",
            "fax_number": "608-790-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEGGENKUHLE",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5505-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.