Individual provider Active NPI

Sarah Elizabeth Yackley-Ploeger, D.C.

  • Chiropractor
  • Forest Lake, MN
National Provider Identifier
1821275686
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5072 Issued in MN
Practice address
1068 Lake St S
Suite 15
Forest Lake, MN 55025-2639
Phone
(952) 240-9058
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5072 MN Primary

Addresses

Primary practice location

1068 Lake St S
Suite 15
Forest Lake, MN 55025-2639

Mailing address

1068 Lake St S
Suite 15
Forest Lake, MN 55025-2639
Phone (952) 240-9058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5072MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hyva Elama, P.a. Chiropractor Past Accepting new patients
Discover Family Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1821275686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S",
            "address_2": "SUITE 15",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252639",
            "telephone_number": "952-240-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S",
            "address_2": "SUITE 15",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252639",
            "telephone_number": "952-240-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACKLEY-PLOEGER",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.