Amy A Elliott, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4592-12 Issued in WI

Practice address

530 N 108TH PL
Ste 100
Milwaukee, WI 53226-4253

Phone

(414) 897-7078

Fax

(888) 656-9811

NPI assigned

Feb 15, 2010

Sex

Female

Sole proprietor

No

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)

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.

• Heffernan Chiropractic Clinic SC

  • Chiropractor
  • Waukesha, WI
  • NPI 1720120868
  NPD (past)

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1578885737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N 108TH PL",
            "address_2": "STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264253",
            "telephone_number": "414-897-7078",
            "fax_number": "888-656-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N 108TH PL",
            "address_2": "STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264253",
            "telephone_number": "414-897-7078",
            "fax_number": "888-656-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "AMY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4592-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Ellinger, D.D.S.
• Christopher R Ellingsen, PA-C
• Joanne Marie Ellingsen, PT
• Jessica Ellingsworth
• Jessi James Elliot, RT(R)
• Brandon Elliott, MD
• Kathryn M. Elliott, D.M.D
• Lisa Elliott
• Tory Skye Elliott, PHD
• William Cromartie Elliott Jr., M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.