Essence Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ESSENCE FAMILY CHIROPRACTIC LLC

Practice address

N56W39325 Wisconsin Ave Unit B
Oconomowoc, WI 53066-2192

Phone

(262) 354-8252

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Katelyn Elaine Nielsen, DC

Title

Owner

Phone

(262) 354-8252

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1982241899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N56W39325 WISCONSIN AVE UNIT B",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662192",
            "telephone_number": "262-354-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N56W39325 WISCONSIN AVE UNIT B",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662192",
            "telephone_number": "262-354-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-354-8252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "endpointDescription": "EHR System",
            "address_1": "N56W39325 Wisconsin Ave Unit B",
            "city": "Oconomowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530662192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.