Kendra Minick

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

563512 Issued in WI

Practice address

452 Williams St
Columbus, WI 53925-1777

Phone

(920) 350-1040

NPI assigned

Apr 2, 2021

Last updated

Apr 2, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1841879491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 WILLIAMS ST",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 WILLIAMS ST",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251777",
            "telephone_number": "920-350-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINICK",
        "first_name": "KENDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "563512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anchorchirowi.com",
            "affiliation": "N",
            "address_1": "452 Williams St",
            "city": "Columbus",
            "state": "WI",
            "country_code": "US",
            "postal_code": "539251777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Connor McCullough
• Lydia Marie McKee, RN
• Alyssa Catherine Meier, MS SLP
• Sydney Mikulas, PT, DPT
• Colin Tolentino Millar, MD
• Thomas Mitchell, MD
• Valerie Monthie, RN ,WCC
• Emily Rebecca Moore, MS, RD, CD, CSO
• Matthew C Niesen, M.D.
• Andrew Nothem, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.