Individual provider Active NPI

Claire Joanna Kroenke, LAC

  • Acupuncturist
  • Milwaukee, WI
National Provider Identifier
1649981598
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2004-55 Issued in WI
Practice address
3101 S Delaware Ave
Milwaukee, WI 53207-3018
Phone
(414) 481-8683
NPI assigned
Dec 12, 2022
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 2004-55 WI Primary

Addresses

Primary practice location

3101 S Delaware Ave
Milwaukee, WI 53207-3018

Mailing address

2847 S Austin St
Milwaukee, WI 53207-2009
Phone (414) 788-8733

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2004-55WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Valentine Chiropractic, S.C. Single Specialty CurrentSince Dec 18, 2022 Accepting new patients

Locations

3101 S Delaware Ave
Milwaukee, WI 53207
Phone (414) 481-8683

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1649981598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 S AUSTIN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072009",
            "telephone_number": "414-788-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S DELAWARE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532073018",
            "telephone_number": "414-481-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROENKE",
        "first_name": "CLAIRE",
        "middle_name": "JOANNA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "2004-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

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

Verify at the official NPI Registry.