Stephanie Kaye Tyjeski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5238-12 Issued in WI

Practice address

303 S 1St St
Watertown, WI 53094-4405

Phone

(920) 261-0855

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jerome E Tyjeski, DC

  • Chiropractor
  • Beaver Dam, WI
  • NPI 1104993658
  Medicare reassignment
• Tyjeski Family Chiropractic

  • Chiropractor
  • Beaver Dam, WI
  • NPI 1396418083
  NPD
• Ulrey Chiropractic Office SC

  • Chiropractor
  • Watertown, WI
  • NPI 1427004803
  NPD

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1639615941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E MACKIE ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162031",
            "telephone_number": "920-885-3020",
            "fax_number": "920-885-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 1ST ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944405",
            "telephone_number": "920-261-0855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 E Mackie St",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "WI",
            "postal_code": "539162031",
            "country_code": "US",
            "telephone_number": "920-885-3020",
            "fax_number": "920-885-3024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYJESKI",
        "first_name": "STEPHANIE",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5238-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Trimborn
• Alyssa Nicole Tripi, OTR/L
• John Thomas Turk, CCSII CADCIII
• Turke Family Medicine, S.C.
• Terry L Turke, M.D.
• Jacquelin Ulm
• Ulrey Chiropractic Office SC
• Scott M Ulrey, DC
• Rosa Deanna Perez Valenzuela
• Holly C Van Hecke, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.