Amy Susanne Hietala, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3470 Issued in WI

Practice address

215 N 2ND St
201
River Falls, WI 54022-3706

Phone

(715) 425-6665

Fax

(715) 425-6677

NPI assigned

Oct 20, 2006

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

Other identifiers 1

Other names 1

• Amy S Olmstead Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1996

Medicare assignment

May accept Medicare assignment

Group practices

River Falls Chiropractic, IncGroup PAC ID 7214104751, 3 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.

• River Falls Chiropractic, Inc

  • Chiropractor
  • River Falls, WI
  • NPI 1316166333
  Medicare reassignment Care Compare group NPD
• Kinni Valley Chiropractic

  • Chiropractor
  • River Falls, WI
  • NPI 1194832550
  NPD (past)
• Michael J Court, Inc

  • Chiropractor
  • Eau Claire, WI
  • NPI 1881728442
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1851473359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 FRANKLIN ST",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540029319",
            "telephone_number": "920-889-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 2ND ST",
            "address_2": "201",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223706",
            "telephone_number": "715-425-6665",
            "fax_number": "715-425-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIETALA",
        "first_name": "AMY",
        "middle_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3470",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "MN3382",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38925900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "OLMSTEAD",
            "middle_name": "S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Healtheast Medical Research Insititue
• Lisa R Heier, PHARMD
• Kurt A Helmrick, PA
• Laurie Hensel, RN, CNP
• Loretta Pearle Henson, PHD., LP
• Alison Hoeke, SLP
• Horizon Family Chiropractic, LTD
• Racheal Hovland, MA CCC-SLP
• HP/Hillview, Inc.
• HR Hearing, LLC

• All providers in River Falls, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.