Individual provider Active NPI

Tami L Wall-Feyen, DC

  • Chiropractor
  • Platteville, WI
National Provider Identifier
1619088895
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2353012 Issued in WI
Practice address
470 South Water Street
Platteville, WI 53818
Phone
(608) 348-3156
Fax
(608) 348-3176
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2353012 WI Primary

Addresses

Primary practice location

470 South Water Street
Platteville, WI 53818

Mailing address

470 South Water Street
Platteville, WI 53818
Phone (608) 348-3156

Other identifiers 2

IdentifierTypeStateIssuer
38836600MedicaidWI
12827OtherWIDEAN HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001157 WI Practitioner - Chiropractic 1759368327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Chiropractic Associates of Platteville LLCGroup PAC ID 3779560347, 6 clinicians

Practice addresses (Care Compare)

470 S Water St
Platteville, WI 53818-3607
Phone (608) 348-3156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2353012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of Platteville LLC Chiropractor CurrentSince Jan 1, 2000 Accepting new patients

Locations

470 S Water St
Platteville, WI 53818
Phone (608) 348-3156

Interoperability endpoints

  • Direct secure messaging: tami@caop0001.direct.chirotouch.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1619088895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SOUTH WATER STREET",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "53818",
            "telephone_number": "608-348-3156",
            "fax_number": "608-348-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SOUTH WATER STREET",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "53818",
            "telephone_number": "608-348-3156",
            "fax_number": "608-348-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL-FEYEN",
        "first_name": "TAMI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2353012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38836600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "12827",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.