Organization Active NPI

Birchwood Family Medicine, LLC

  • Family Medicine Physician
  • Birchwood, WI
National Provider Identifier
1285470724
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BIRCHWOOD FAMILY MEDICINE, LLC
Practice address
101 West Loomis Street
Suite a
Birchwood, WI 54817
Phone
(715) 202-6782
Fax
(715) 800-1982
NPI assigned
Jul 3, 2024
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Dr. Kristen Marjorie Dall-Winther, MDNPI 1871562058
Title
Owner/Ceo
Phone
(715) 202-6782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

101 West Loomis Street
Suite a
Birchwood, WI 54817

Mailing address

PO Box 2
Birchwood, WI 54817-0002
Phone (715) 202-6782

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://spruce.care/birchwoodfamilymedicine Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2237866Birchwood Family Medicine101 West Loomis St Ste a, Birchwood, WI 54817Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1285470724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "BIRCHWOOD",
            "state": "WI",
            "postal_code": "548170002",
            "telephone_number": "715-202-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST LOOMIS STREET",
            "address_2": "SUITE A",
            "city": "BIRCHWOOD",
            "state": "WI",
            "postal_code": "54817",
            "telephone_number": "715-202-6782",
            "fax_number": "715-800-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHWOOD FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "DALL-WINTHER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MARJORIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "715-202-6782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://spruce.care/birchwoodfamilymedicine",
            "affiliation": "N",
            "endpointDescription": "Spruce is a secure communication platform which you can access quickly through a secure app on your smartphone or online if you prefer to type on a keyboard.  This HIPAA compliant application allows sharing of files & direct communication provider to provider.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "https://spruce.care/birchwoodfamilymedicine",
            "address_1": "101 West Loomis Street",
            "address_2": "Suite A",
            "city": "Birchwood",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birchwood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.