Nordic Private Care, LLC

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

NORDIC PRIVATE CARE, LLC

Practice address

814 Lynn Avenue
Baraboo, WI 53913

Phone

(608) 355-6990

Fax

(608) 355-2291

NPI assigned

Nov 6, 2020

Organization subpart

Yes

Parent organization

NORDIC PRIVATE CARE, LLCAs reported in NPPES

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

Authorized official

Name

Traci L Rothenburger

Title

Clinic Manager

Phone

(608) 355-6993

Specialties & licenses 1

Addresses

Part of

Nordic Private Care LLC

Locations

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1902407786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 LYNN AVENUE",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "53913",
            "telephone_number": "608-355-6990",
            "fax_number": "608-355-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 LYNN AVENUE",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "53913",
            "telephone_number": "608-355-6990",
            "fax_number": "608-355-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDIC PRIVATE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORDIC PRIVATE CARE, LLC",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "ROTHENBURGER",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "608-355-6993"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Muscanero, B.S.
• Angela Nelson, CSW
• Leigh Megan Neville-Neil
• New Life Physical Therapy & Sports Medicine Baraboo, LLC
• Vera B Nigrin, MD
• Solare Elizabeth O'Brien-Brethorst, APSW
• Melissa A O'Rourke
• Oak Park Place of Baraboo, LLC
• Stephanie Lee Oestreich, M.A.
• Madeline Oie

• Corporate Health Clinic/Center in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Corporate Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.