Tammy Benz-Jeppeson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10884-146 Issued in WI

Practice address

2514 Glendale Ave
Green Bay, WI 54313-6822

Phone

(920) 434-5086

NPI assigned

Mar 15, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Health in Motion Chiropractic LLC

  • Chiropractor
  • Green Bay, WI
  • NPI 1386263374

  Single Specialty

  NPD (past)
• Health in Motion Rehab Services

  • Nurse Practitioner
  • Green Bay, WI
  • NPI 1932822004

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1508514886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WILDERNESS TRL",
            "city": "SUAMICO",
            "state": "WI",
            "postal_code": "543138745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 GLENDALE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543136822",
            "telephone_number": "920-434-5086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11880 Velp Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543137881",
            "country_code": "US",
            "telephone_number": "920-857-3126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENZ-JEPPESON",
        "first_name": "TAMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "10884-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Marie Beno, RDH
• Tara Leigh Benson, APNP
• Yvonne Marie Benson, RN
• Dwight D Bentley, CRNA
• Kari E Bentley, CRNA
• Mindy A Benz, DPT
• Beth Ann Benzschawel, MS-CCC/SLP
• Kalina Berg
• Kim M Berg, OTR/L
• Paige Berg, MA, LPC, ATR

• Massage Therapist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.