Tara Jean Stateler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4433-12 Issued in WI

Practice address

714 4TH Ave W
Monroe, WI 53566

Phone

(608) 328-8304

Fax

(608) 328-1870

NPI assigned

Jul 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behrell Stateler Chiropractic LLCGroup PAC ID 2264828086, 2 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 and National Provider Directory roles.

• Behrell Stateler Chiropractic LLC

  • Chiropractor
  • Monroe, WI
  • NPI 1477211662
  Medicare reassignment Care Compare group NPD
• Chiropractic Works of Illinois, LTD.

  • Internist Chiropractor
  • Vernon Hills, IL
  • NPI 1699953745
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1821252263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 4TH AVE W",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661039",
            "telephone_number": "608-328-8304",
            "fax_number": "608-328-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 4TH AVE W",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "53566",
            "telephone_number": "608-328-8304",
            "fax_number": "608-328-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATELER",
        "first_name": "TARA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011212",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4433-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Snyder, PT, DPT
• Scott Soja, ATC
• Dustin Mark Sonday, D.C.
• Danyel Speich
• Emily Sprague
• Stateline Vision Center LLC
• Olivia A Stauffacher, PA
• Erin Elizabeth Stauffer, MA, CCC-SLP
• Anita Maria Stein
• Steven Franson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.