Active NPI
Rosann Marie Froehle, D.C.
- Chiropractor
- Lakeland, MN
National Provider Identifier
1669552576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3158
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38876500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080416000176 | MN | Practitioner - Chiropractic | 2769560754 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3036-012 | WI | MD | Chiropractor |
| 3158 | MN | MD | Optometrist |
| 3036 | WI | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake and Leaf Chiropractic PLLC | Current | 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.
-
- Clinic/Center
- Lindstrom, MN
- NPI 1669193793
-
- Point of Service
- Wabasha, MN
- NPI 1699054213
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.