Jeanne Stark Casadont

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

925 Issued in WI

Practice address

7600 75TH St Ste 122
Kenosha, WI 53142-7697

Phone

(262) 771-9051

NPI assigned

Jul 3, 2019

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jstarkcasadont156703@direct.myadvocateaurora.org

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1689236291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6053 109TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427598",
            "telephone_number": "262-857-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 75TH ST STE 122",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427697",
            "telephone_number": "262-771-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK CASADONT",
        "first_name": "JEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7600 75th St Ste 122",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531427697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstarkcasadont156703@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7600 75th St Ste 122",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531427697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dmitriy Stalivonenko, M.D.
• Jennifer Helen Stanis, APSW
• Madison Stankevich, OTR/L
• Claire Stanners, MAT, ATC
• Jillian Ann Stapleman, PTA
• Ismael R Staromana, MD
• Colleen M Steffens, OT
• Stein Optical Inc
• Connie Lee Stein, LPN
• Sadie Ann Steinbeisser, OD

• Acupuncturist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.