Individual provider Active NPI

Katie J Strasser, DC

  • Chiropractor
  • Holmen, WI
National Provider Identifier
1316044043
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3933-012 Issued in WI
Practice address
126 State St
Box 155
Holmen, WI 54636-9508
Phone
(608) 526-4628
NPI assigned
Sep 17, 2006
Last updated
May 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3933-012 WI Primary

Addresses

Primary practice location

126 State St
Box 155
Holmen, WI 54636-9508

Mailing address

415 W Wisconsin St
Ste 4
Sparta, WI 54656-2493
Phone (715) 848-2526

Other identifiers 2

IdentifierTypeStateIssuer
38993400OtherWIMEDICAID GROUP
38948200MedicaidWI

Other names 1

  • Katie J Waldenberger Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Place LLC Chiropractor CurrentSince Jan 1, 2016 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor Past Accepting new patients

Locations

415 W Wisconsin St
Ste 4
Sparta, WI 54656
Phone (608) 269-4511

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1316044043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W WISCONSIN ST",
            "address_2": "STE 4",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562493",
            "telephone_number": "715-848-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 STATE ST",
            "address_2": "BOX 155",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369508",
            "telephone_number": "608-526-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRASSER",
        "first_name": "KATIE",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3933-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "38993400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38948200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "WALDENBERGER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holmen, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.