Active NPI
Olivia Bressy Cashmore, DC, CCN
- Nutrition Chiropractor
- Kenosha, WI
National Provider Identifier
1710102066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 5085
- Practice address
- 3601 30TH Ave
Suite 101
Kenosha, WI 53144-1695 - Phone
- (262) 220-8500
- Fax
- (847) 278-5588
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 038010095 | IL | |
| Nutrition Chiropractor | 111NN1001X | 038010095 | IL | |
| Nutrition Chiropractor | 111NN1001X | 5085 | WI | Primary |
| Pediatric Chiropractor | 111NP0017X | 5085 | WI | |
| Rehabilitation Chiropractor | 111NR0400X | 038010095 | IL | |
| Rehabilitation Chiropractor | 111NR0400X | 5085 | WI | |
| Nutritionist | 133N00000X |
Addresses
Primary practice location
3601 30TH Ave
Suite 101
Kenosha, WI 53144-1695
Mailing address
6106 115TH Ave
Kenosha, WI 53142-7274
Phone (262) 220-8500
Other names 1
- Dr. Olivia Helene Bressy
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038010095 | IL | MD | Rehabilitation Chiropractor |
| 5085 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blossom Chiropractic and Natural Medicine | Nutrition | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Nutrition Chiropractor
- Kenosha, WI
- NPI 1902341548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1710102066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6106 115TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427274",
"telephone_number": "262-220-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 30TH AVE",
"address_2": "SUITE 101",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441695",
"telephone_number": "262-220-8500",
"fax_number": "847-278-5588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASHMORE",
"first_name": "OLIVIA",
"middle_name": "BRESSY",
"name_prefix": "Dr.",
"credential": "DC, CCN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "IL",
"license": "038010095",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "IL",
"license": "038010095",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "WI",
"license": "5085",
"primary": true
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "WI",
"license": "5085",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": "038010095",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "WI",
"license": "5085",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "BRESSY",
"middle_name": "HELENE",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.