Individual provider Active NPI

Rhonda Susan Hensley, D.C.

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1972830719
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4558012 Issued in WI
Practice address
1075 Brookwood Dr
Green Bay, WI 54304-4135
Phone
(920) 496-6000
Fax
(920) 496-0998
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4558012 WI Primary

Addresses

Primary practice location

1075 Brookwood Dr
Green Bay, WI 54304-4135

Mailing address

1075 Brookwood Dr
Green Bay, WI 54304-4135
Phone (920) 496-6000

Other names 1

  • Mrs. Rhonda Sue Mullins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4558012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Center for Infusion, SC Past Accepting new patients
Quality Chiropractic & Stress Reduction Center, S.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1972830719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 BROOKWOOD DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044135",
            "telephone_number": "920-496-6000",
            "fax_number": "920-496-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BROOKWOOD DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044135",
            "telephone_number": "920-496-6000",
            "fax_number": "920-496-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "RHONDA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4558012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "MULLINS",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.