Individual provider Active NPI

Rosann Marie Froehle, D.C.

  • Chiropractor
  • Lakeland, MN
National Provider Identifier
1669552576
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3158 Issued in MN
Practice address
76 Saint Croix TRL N
Lakeland, MN 55043-9719
Phone
(651) 436-6000
Fax
(651) 436-7579
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3036-012 WI
Chiropractor 111N00000X 3158 MN Primary

Addresses

Primary practice location

76 Saint Croix TRL N
Lakeland, MN 55043-9719

Mailing address

76 Saint Croix TRL N
Lakeland, MN 55043-9719
Phone (651) 436-6000

Other identifiers 1

IdentifierTypeStateIssuer
38876500MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080416000176 MN Practitioner - Chiropractic 2769560754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3036-012WIMDChiropractor
3158MNMDOptometrist
3036WIMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Lake and Leaf Chiropractic PLLC CurrentSince Sep 7, 2022 Accepting new patients
Eagle Valley Chiropractic LLC Past Accepting new patients

Organizations & group practices 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1669552576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SAINT CROIX TRL N",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "550439719",
            "telephone_number": "651-436-6000",
            "fax_number": "651-436-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SAINT CROIX TRL N",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "550439719",
            "telephone_number": "651-436-6000",
            "fax_number": "651-436-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROEHLE",
        "first_name": "ROSANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3036-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38876500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.