Jordan Lee Stittleburg, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5207-12 Issued in WI

Practice address

1021 Berry Ave
Tomah, WI 54660-3400

Phone

(608) 372-5900

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McNally Spinal Care LLCGroup PAC ID 4789674268, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• McNally Spinal Care, LLC

  • Chiropractor
  • Tomah, WI
  • NPI 1477829745
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1467099309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 9TH ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151138",
            "telephone_number": "517-398-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 BERRY AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546603400",
            "telephone_number": "608-372-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITTLEBURG",
        "first_name": "JORDAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-5022",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5207-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kay Steele, R.N.
• Mark J Steging, PA
• Mindy Stein, RN, BSN
• Ahnna Marie Stelter, PA-C
• Carolee Michelle Stepanski
• Paul Stoltz
• Shelby Stone, LCSW
• Sheila Kay Strait, RN
• Shelley Larice Strojny, FPMHNP-BC
• Cassie Sullivan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.