Active NPI
Lindsay Marie Whaley, D.C.
- Chiropractor
- Niagara, WI
National Provider Identifier
1871756502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009435
- Practice address
- 621 Washington Ave
Niagara, WI 54151-1213 - Phone
- (715) 251-4020
- Fax
- (715) 251-0772
- NPI assigned
- Jul 2, 2008
- Last updated
- Apr 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009435 | MI | Primary |
| Chiropractor | 111N00000X | 5084-12 | WI |
Addresses
Primary practice location
621 Washington Ave
Niagara, WI 54151-1213
Mailing address
PO Box 193
Niagara, WI 54151-0193
Phone (715) 251-4020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080908000196 | MI | Practitioner - Chiropractic | 4082780580 | Practice locations: Stephenson, MI |
| I20150909000147 | WI | Practitioner - Chiropractic | 4082780580 | Practice locations: Niagara, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
621 Washington Ave
Niagara, WI 54151-1213
Phone (715) 251-4020
S216 Menominee St
Stephenson, MI 49887-8865
Phone (906) 753-4020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301009435 | MI | MD | Chiropractor |
| 5084-12 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1871756502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 193",
"city": "NIAGARA",
"state": "WI",
"postal_code": "541510193",
"telephone_number": "715-251-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 WASHINGTON AVE",
"city": "NIAGARA",
"state": "WI",
"postal_code": "541511213",
"telephone_number": "715-251-4020",
"fax_number": "715-251-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "LINDSAY",
"middle_name": "MARIE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009435",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5084-12",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.