Active NPI
Katie R. Fassbinder, M.D.
- Psychiatry Physician
- Viroqua, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1343-TEP
- Practice address
- 210 Airport Rd
Viroqua, WI 54665-1159 - Phone
- (608) 638-7420
- Fax
- (608) 638-7429
- NPI assigned
- May 9, 2006
- Last updated
- Apr 15, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1343-TEP | WI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 49741 | WI |
Addresses
Primary practice location
210 Airport Rd
Viroqua, WI 54665-1159
Mailing address
210 Airport Rd
PO Box 189
Viroqua, WI 54665-1159
Phone (608) 638-7420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1343-TEP | WI | MD | Psychiatry Physician |
| 49741 | WI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of la Crosse | Current | Accepting new patients | |
| County of la Crosse | Current | Accepting new patients | |
| County of Monroe | Current | Accepting new patients | |
| County of Monroe | Current | Accepting new patients | |
| Crawford County CCS | Past | Accepting new patients |
Locations
300 4th St N
La Crosse, WI 54601
Phone (608) 784-4357
210 W Oak St
Sparta, WI 54656
Phone (608) 269-8600
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- La Crosse, WI
- NPI 1366508897
-
- Community/Behavioral Health Agency
- Sparta, WI
- NPI 1881813152
-
dba La Crosse County Health Department
- Primary Care Clinic/Center
- La Crosse, WI
- NPI 1538165766
-
dba Rolling Hills Rehabilitation Center
- Skilled Nursing Facility
- Sparta, WI
- NPI 1952306748
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prairie Du Chien, WI
- NPI 1417333238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1710936588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 AIRPORT RD",
"address_2": "PO BOX 189",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546651159",
"telephone_number": "608-638-7420",
"fax_number": "608-638-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 AIRPORT RD",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546651159",
"telephone_number": "608-638-7420",
"fax_number": "608-638-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASSBINDER",
"first_name": "KATIE",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "1343-TEP",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": "49741",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.