Andrea Marie Davidson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4086-12 Issued in WI

Practice address

1431 W Mason St
Green Bay, WI 54303-2120

Phone

(920) 405-0050

Fax

(920) 405-0553

NPI assigned

Oct 20, 2006

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andrea Marie Wochenske Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Andrea Appleton LTD

  dba The Chiropractic Cottage

  • Chiropractor
  • Green Bay, WI
  • NPI 1740426477
  Medicare reassignment
• Dr Jill Davies LLC

  • Chiropractor
  • Green Bay, WI
  • NPI 1710016985
  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": "1673222400000",
    "number": "1972685634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032120",
            "telephone_number": "920-405-0050",
            "fax_number": "920-405-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032120",
            "telephone_number": "920-405-0050",
            "fax_number": "920-405-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4086-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38963900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WOCHENSKE",
            "middle_name": "MARIE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kari Daugherty, PTA
• Barry T Daughtry, M.D.
• Louise Clara Daul, MS, LPC
• Stephanie Daun, LPC, SAC
• David a. Felton, M.D., S.C.
• Jill Beth Davies-Kern, DC
• Neesha Davies, APNP
• Talitha H Davies, MD
• Deidre A.L Davis
• Jason Orrin Davis, PA-C

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.