Lakelife Integrative Health

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKELIFE INTEGRATIVE HEALTH

Practice address

5862N State Road 70
Stone Lake, WI 54876

Phone

(715) 205-5560

NPI assigned

Mar 4, 2025

Last updated

Mar 4, 2025By 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

Tanae Berg, DCNPI 1902428006

Title

Owner

Phone

(715) 205-5560

Specialties & licenses 1

Addresses

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.

• Tanae Berg, DC

  • Nutrition Chiropractor
  • Stone Lake, WI
  • NPI 1902428006
  NPD Authorized official

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1548068869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16206 W STATE ROAD 70",
            "city": "STONE LAKE",
            "state": "WI",
            "postal_code": "548761101",
            "telephone_number": "715-205-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5862N STATE ROAD 70",
            "city": "STONE LAKE",
            "state": "WI",
            "postal_code": "54876",
            "telephone_number": "715-205-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELIFE INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "TANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-205-5560",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanae Berg, DC
• Lac Courte Oreilles Governing
• Marek DS Associates LTD
• Donald S Marek, R.PH.
• Teri Lynn Nugent, LCSW
• Amanda Snyder
• Teri Nugent Private Practice, LLC

• Chiropractor in Stone Lake, WI
• Providers in Stone Lake, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.