Croixview Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

110466 Issued in WI

Legal business name

CROIXVIEW FAMILY CHIROPRACTIC LLC

Practice address

113 Second St.
Hudson, WI 54016-1503

Phone

(715) 381-9965

Fax

(715) 381-9963

NPI assigned

Oct 11, 2007

Last updated

May 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Krohn-Shupe, D.C.

Title

Doctor of Chiropractic

Phone

(715) 381-9965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: drjen@cfc0024.direct.chirotouch.md

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mallory Skoff, D.C.

  • Chiropractor
  • Hudson, WI
  • NPI 1528465846
  Medicare reassignment NPD
• Taylor Lauren Bowker, DC

  • Chiropractor
  • Hudson, WI
  • NPI 1255938981
  NPD
• Julia Johanna Carlson, D.C.

  • Chiropractor
  • Eau Claire, WI
  • NPI 1609008150
  NPD (past)
• Jeslyn Kolasa, DC

  • Chiropractor
  • Hudson, WI
  • NPI 1376490235
  NPD (past)
• Barbara Wasson, LAC

  • Acupuncturist
  • Hudson, WI
  • NPI 1790159762
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1760670012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SECOND ST.",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161503",
            "telephone_number": "715-381-9965",
            "fax_number": "715-381-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SECOND ST.",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161503",
            "telephone_number": "715-381-9965",
            "fax_number": "715-381-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROIXVIEW FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "KROHN-SHUPE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "715-381-9965",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "110466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Courteau
• CRC Wisconsin Rd LLC (Burkwood Treatment Center)
• CRC Wisconsin Rd LLC (Burkwood Treatment Center)
• Crestview Family Dental
• Brian Crim, LMFT
• Saren Croker, PA-C
• Andrea Clair Cronk
• Amy M Crouch, RPH
• Sean Andrew Cudd, OTR/L
• Danielle T Dabruzzi, B.S. D. C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.