Kristin L Hackbarth, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4774-12 Issued in WI

Practice address

1500 Arbor Way
Kaukauna, WI 54130-7305

Phone

(920) 766-3200

NPI assigned

Nov 14, 2011

Last updated

Nov 23, 2021By the provider in NPPES

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

Other names 1

• Dr. Kristin L Ehster Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khackbarth188501@direct.myadvocateaurora.org

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.

• Raschke Chiropractic Center SC

  dba Waupaca Chiropractic Center

  • Chiropractor
  • Waupaca, WI
  • NPI 1750382537
  NPD
• Allied Health of Wisconsin, SC

  dba Allied Health Chiropractic Centers

  • Chiropractor
  • Wausau, WI
  • NPI 1487605051
  NPD (past)
• Glander Family Chiropractic, LLC

  • Chiropractor
  • Franklin, WI
  • NPI 1538641303
  NPD (past)
• Scott D. Bautch D C S C

  dba Bautch Chiropractic

  • Chiropractor
  • Wausau, WI
  • NPI 1316315153
  NPD (past)

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1417234790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "414-389-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ARBOR WAY",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541307305",
            "telephone_number": "920-766-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKBARTH",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4774-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417234790",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khackbarth188501@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Arbor Way",
            "city": "Kaukauna",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541307305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1500 Arbor Way",
            "city": "Kaukauna",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541307305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "EHSTER",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Christine Giordana, M.S.
• Gerald E. Gomm, D.C.
• Matthew H Goodman, PHARMD
• Joseph C Graunke, MD
• Haanen Zilisch Smith Chiropractic Clinic LLC
• Jennifer A Haen, LMT
• Katie Hagerstrom, MSN, APNP, AGPC-BC
• Lorraine Hansen
• Noelle Beth Hauser, OTR
• Haven Heritage Adult Family Home LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.