Organization Active NPI

Great River Chiropractic PLLC

  • Chiropractor
  • Winona, MN
National Provider Identifier
1710248059
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5663 Issued in MN
Legal business name
GREAT RIVER CHIROPRACTIC PLLC
Practice address
1215 Gilmore Ave Ste B
Winona, MN 55987-2423
Phone
(507) 474-6011
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Dr. Kathryn Lu Strangstalien, D.C.NPI 1952660409
Title
Owner
Phone
(507) 474-6011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5663 MN Primary

Addresses

Primary practice location

1215 Gilmore Ave Ste B
Winona, MN 55987-2423

Mailing address

1215 Gilmore Ave Ste B
Winona, MN 55987-2423
Phone (507) 474-6011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120718000757 MN Part B Supplier - Clinic/Group Practice 7113183187 Receives reassigned benefits from 1 practitioner
Practice locations: Winona, MN

National Provider Directory

National Provider Directory

Locations

1215 Gilmore Ave
Ste B
Winona, MN 55987
Phone (507) 474-6011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1710248059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 GILMORE AVE STE B",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559872423",
            "telephone_number": "507-474-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GILMORE AVE STE B",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559872423",
            "telephone_number": "507-474-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT RIVER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "STRANGSTALIEN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "LU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-474-6011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.