NPIMap

Organization Active NPI

Big Bend Vernon Releif & Wellness SC

  • Chiropractor
  • Big Bend, WI
National Provider Identifier
1871743047
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5001-12 Issued in WI
Legal business name
BIG BEND VERNON RELEIF & WELLNESS SC
Practice address
S71W23325 National Ave Ste 5
Big Bend, WI 53103-9495
Phone
(262) 662-9775
Fax
(262) 662-9773
NPI assigned
Sep 24, 2008
Last updated
May 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dr. Kacie Estes Walters, DCNPI 1578822565
Title
Owner
Phone
(262) 662-9775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5001-12 WI Primary

Addresses

Primary practice location

S71W23325 National Ave Ste 5
Big Bend, WI 53103-9495

Mailing address

S71W23325 National Ave Ste 5
Big Bend, WI 53103-9495
Phone (262) 662-9775

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1871743047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S71W23325 NATIONAL AVE STE 5",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039495",
            "telephone_number": "262-662-9775",
            "fax_number": "262-662-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S71W23325 NATIONAL AVE STE 5",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039495",
            "telephone_number": "262-662-9775",
            "fax_number": "262-662-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEND VERNON RELEIF & WELLNESS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "KACIE",
        "authorized_official_middle_name": "ESTES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-662-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5001-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.