Active NPI
Birchwood Family Medicine, LLC
- Family Medicine Physician
- Birchwood, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristen Marjorie Dall-Winther, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://spruce.care/birchwoodfamilymedicine | Health Information Exchange (HIE) |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2237866 | Birchwood Family Medicine | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Birchwood, WI
- NPI 1871562058
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.