Active NPI
Tami L Wall-Feyen, DC
- Chiropractor
- Platteville, WI
National Provider Identifier
1619088895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2353012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38836600 | Medicaid | WI | |
| 12827 | Other | WI | DEAN HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2353012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Associates of Platteville LLC | Chiropractor | Current | Accepting new patients |
Locations
470 S Water St
Platteville, WI 53818
Phone (608) 348-3156
Interoperability endpoints
- 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.
-
- Chiropractor
- Platteville, WI
- NPI 1790896975
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.