Robin S Nelson, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1781-012 Issued in WI

Practice address

402 Ellis St
Kewaunee, WI 54216-1329

Phone

(920) 388-4499

Fax

(920) 388-4499

NPI assigned

Jul 28, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Root of Wellness Chiropractic LLC

  • Chiropractor
  • Kewaunee, WI
  • NPI 1972290500
  NPD

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1336149665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 ELLIS ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161329",
            "telephone_number": "920-388-4499",
            "fax_number": "920-388-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 ELLIS ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161329",
            "telephone_number": "920-388-4499",
            "fax_number": "920-388-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ROBIN",
        "middle_name": "S",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1781-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38776600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie S Mueller-Waigand, PA
• Carol Jean Mueller, LPN
• Sarah Anne Nash, PHARMD
• Lori M Nellis, LSW LICENSED SOCIAL
• Nelson-Sivret Chiropractic, LLC
• Elizabeth Newbury, APNP
• Melissa Nimmer, LPN
• NSH Kewaunee LLC
• Maureen C O'Shea, LPC
• Oconto Hospital & Medical Center Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.