Kay K Secrest, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1307 Issued in WI

Practice address

316 Steele St
Algoma, WI 54201-1265

Phone

(920) 487-9909

Fax

(877) 898-0965

NPI assigned

Jun 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Secrest Family Chiropractic LLC

  • Chiropractor
  • Algoma, WI
  • NPI 1528106929
  Authorized official Same address or phone
• D G Kenny DC SC

  • Chiropractor
  • Algoma, WI
  • NPI 1811036189
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447291331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 STEELE ST",
            "city": "ALGOMA",
            "state": "WI",
            "postal_code": "542011265",
            "telephone_number": "920-487-9909",
            "fax_number": "877-898-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 STEELE ST",
            "city": "ALGOMA",
            "state": "WI",
            "postal_code": "542011265",
            "telephone_number": "920-487-9909",
            "fax_number": "877-898-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECREST",
        "first_name": "KAY",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1307",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Salzsieder, RN
• Mark John Sauter, DC
• Tina M Schmidt, PA
• Lori Schuerman, MPH, DNP,APNP, PMHNP
• Secrest Family Chiropractic LLC
• Urology Associates of Green Bay
• Amber Beth Vanden Avond, DC
• Sarah Lynn Villers, LPN
• Nicholas Wasilkoff, PT
• Waterfall Health of Algoma, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.