Active NPI
Steven McCaskill
- Health & Wellness Coach
- Manitowoc, WI
National Provider Identifier
1578214482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 19325410
- Practice address
- 1006 Franklin St Ste 102
Manitowoc, WI 54220-4516 - Phone
- (920) 682-8830
- Fax
- (920) 682-8860
- NPI assigned
- Jan 12, 2022
- Last updated
- Jan 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 19325410 | WI | |
| Health & Wellness Coach | 171400000X | 19325410 | WI | Primary |
Addresses
Primary practice location
1006 Franklin St Ste 102
Manitowoc, WI 54220-4516
Mailing address
1006 Franklin St Ste 102
Manitowoc, WI 54220-4516
Phone (920) 682-8830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19325410 | WI | MD | Point of Service |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1578214482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 FRANKLIN ST STE 102",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204516",
"telephone_number": "920-682-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 FRANKLIN ST STE 102",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204516",
"telephone_number": "920-682-8830",
"fax_number": "920-682-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCASKILL",
"first_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-12",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "WI",
"license": "19325410",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "WI",
"license": "19325410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.