Kristina Therese Sipple, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4381-012 Issued in WI

Practice address

931 E 5TH St
Shawano, WI 54166-2211

Phone

(715) 304-9233

NPI assigned

May 28, 2008

Last updated

Sep 2, 2011By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Countryview Chiropractic Clinic SCGroup PAC ID 7810088333, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Countryview Chiropractic Clinic, S.C.

  • Chiropractor
  • Shawano, WI
  • NPI 1316095185
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1750549556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E 5TH ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662211",
            "telephone_number": "715-304-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E 5TH ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662211",
            "telephone_number": "715-304-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPPLE",
        "first_name": "KRISTINA",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4381-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38186700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Daniel Sheier, MS, LPC
• Heather Beverly Sheski
• Shopko Stores Operating Co., LLC (Shopko Pharmacy 2215)
• Shoptikal LLC (Shopko Optical 4304)
• Cassandra Loretta Silveyra, NP
• Jennifer May Skibba, D.C.
• Nicole Ann Smith-Angwenyi, MSW
• Justine Judy Smith, RPH
• Sarah Christine Smith
• Kaitlyn Rose Sprangers, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.