Lake Wissota Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4436-012 Issued in WI

Legal business name

LAKE WISSOTA FAMILY CHIROPRACTIC

Practice address

107 N Bridge St
Chippewa Falls, WI 54729-2404

Phone

(715) 720-2887

NPI assigned

Oct 8, 2008

Last updated

Jan 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy Gamerdinger Jeffers, D.C.NPI 1194973644

Title

Doctor of Chiropractic

Phone

(715) 720-2887

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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.

• Amy Gamerdinger Jeffers, D.C.

  • Chiropractor
  • Chippewa Falls, WI
  • NPI 1194973644
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1407007420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292404",
            "telephone_number": "715-720-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WISSOTA FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "GAMERDINGER JEFFERS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "715-720-2887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4436-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kameryn Eileen Kuester, DC
• Randolph L. La Rue, DDS
• Angela Labelle, APNP
• Lakeland Home Healthcare
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• Thomas J Lamartina, MSW LCSW
• Rita Ann Lambrigtsen, MS/OTR
• Mary Lisa Landwehr, MD

• Chiropractor in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.