Kelsey Thomas, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5421-12 Issued in WI

Practice address

814 S Main St Ste B
Holmen, WI 54636-5900

Phone

(608) 526-3343

NPI assigned

Oct 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey White Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1710528385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S MAIN ST STE B",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546365900",
            "telephone_number": "608-526-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S MAIN ST STE B",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546365900",
            "telephone_number": "608-526-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KELSEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5421-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "holmenchiropractor.com",
            "affiliation": "N",
            "address_1": "814 S Main St Ste B",
            "city": "Holmen",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546365900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "WHITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Constance Marie Swieter, COTA
• Amara Lee Taylor
• Payton Taylor
• Mary Catherine Terry, DPT, ATC
• Cassandra Lynn Thiessen
• Krista Lynn Tracey, M.A., SLP-CCC
• Updike Chiropractic, LLC
• Chad Gregory Updike, D.C.
• Jillian Utz Lebakken, MS
• Carla Verdon

• Chiropractor in Holmen, WI
• Providers in Holmen, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.