Amber Beth Vanden Avond, DC
Individual provider Active NPI Chiropractor · Algoma, WI
NPI 1821511841 · NPPES record last updated Mar 12, 2024
Key facts
- NPI
- 1821511841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5296-12 (WI)
- Practice address
- 305 Steele St Ste 1
Algoma, WI 54201-1266 - Phone
- (920) 316-0656
- NPI assigned
- Jul 21, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
305 Steele St
Suite 1
Algoma, WI 54201-1266
Phone (920) 316-0656
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170831002233 | WI | Practitioner - Chiropractic | 9234402975 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Chiropractic, LLC | Chiropractor | Current |
Accepting new patients |
Locations
305 Steele St
Ste 1
Algoma, WI 54201
Phone (920) 316-0656
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5296-12 | WI | Yes |
Addresses
Primary practice location
305 Steele St Ste 1
Algoma, WI 54201-1266
Mailing address
305 Steele St Ste 1
Algoma, WI 54201-1266
Phone (920) 316-0656
Other practice location 1
30 N 18th Ave
Sturgeon Bay, WI 54235-3207
Phone (920) 743-7255
Other practice location 2
30 N 18th Ave
Sturgeon Bay, WI 54235-3207
Phone (920) 743-7255
Other providers in Algoma, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.