Amanda Danielle Blonigen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5375-12 Issued in WI

Practice address

2029 County Highway I Ste 3
Chippewa Falls, WI 54729-4420

Phone

(715) 720-8500

Fax

(715) 720-8507

NPI assigned

Aug 1, 2018

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

• Amanda Danielle Haines Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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 and National Provider Directory roles.

• Cook Chiropractic

  • Chiropractor
  • Chippewa Falls, WI
  • NPI 1316277502
  Medicare reassignment NPD
• Well Adjusted Students, Inc

  • Chiropractor
  • Chippewa Falls, WI
  • NPI 1417888413
  NPD Authorized official
• On-Site Chiropractic LLC

  • Chiropractor
  • Chippewa Falls, WI
  • NPI 1043865603
  NPD
• Nielson Family Chiropractic PLLC

  • Chiropractor
  • St Louis Park, MN
  • NPI 1467736231
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1801374855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 COUNTY HIGHWAY I STE 3",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547294420",
            "telephone_number": "715-720-8500",
            "fax_number": "715-720-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 COUNTY HIGHWAY I STE 3",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547294420",
            "telephone_number": "715-720-8500",
            "fax_number": "715-720-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONIGEN",
        "first_name": "AMANDA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5375-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HAINES",
            "middle_name": "DANIELLE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deneen Estelle Berseth, NP
• Stacie Bielefeldt, OTR
• Bio-Medical Applications of Wisconsin, Inc.
• Mary Birtzer
• Emily Blaskey
• Amy Ellen Boettcher
• Kelly Bonner, OT
• Elem Borges Moura, PA-C
• Jill Brandenburg
• Daniel J Brandt, MSW LCSW

• Chiropractor in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.