Reyne Jean Peters, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3480 Issued in WI

Practice address

224 Ellis St
Kewaunee, WI 54216-1006

Phone

(920) 388-0285

Fax

(920) 388-0291

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kewaunee Chiropractic Works LLC

  • Chiropractor
  • Kewaunee, WI
  • NPI 1063618502
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1801938444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 ELLIS ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161006",
            "telephone_number": "920-388-0285",
            "fax_number": "920-388-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ELLIS ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161006",
            "telephone_number": "920-388-0285",
            "fax_number": "920-388-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "REYNE",
        "middle_name": "JEAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan James Olson, MD
• Christine Oswald, MA,CCC-SLP
• Tina K Paral, B.S.W.
• Erin Christine Paschke, PT
• Melanie Rose Peters, OTR
• Amanda Repitz
• Brook Leigh Ronsman, APNP
• Root of Wellness Chiropractic LLC
• Thomas James Rydzewski, RPH
• Anthony Michael Sachse, PT, LAT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.