Mya Reese is a Chiropractor practicing in Pleasant Prairie, Wisconsin. The National Provider Identifier (NPI) is #1003614546, which was assigned on March 3, 2025, and the registration record was last updated on August 18, 2025. The practitioner's main practice location is at 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227; the contact telephone number is 2628575300, and the fax number is 2628575301. The primary taxonomy of Mya Reese is Chiropractor (111N00000X). Mya Reese is licensed to practice in the state of Wisconsin (#630112).
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
| NPI | 1003614546 |
| Entity Type | Individual |
| Provider Name | MYA REESE |
| Gender | Female |
| Credential | DC |
| Practice Address |
12500 Aurora Dr Pleasant Prairie WI 53158-1227 |
| Practice Telephone | 2628575300 |
| Practice Fax Number | 2628575301 |
| Mailing Address |
Po Box 735044 Chicago IL 60673-5044 |
| Mailing Telephone | 8003262250 |
| Mailing Fax Number | 2628575301 |
| Certification Date | 2025-08-18 |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-08-18 |
| Is Sole Proprietor | Y |
| PAC ID |
5890214464 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | MYA J REESE |
| Primary Specialty | CHIROPRACTIC |
| Address |
Po Box Suite 735044 Chicago IL 60673 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 630112 | WI |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 100327373 | WI | MEDICAID |
| Code | 111N00000X |
| Taxonomy | Chiropractor |
| Classification | Chiropractor |
| Grouping | Chiropractic Providers |
| Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Colin Connors | 694 Fort Salonga Rd, Northport, NY 11768-3147 | Chiropractor | 2025-11-07 |
| Blacksphere Chiropractic, PC | 12396 World Trade Dr Ste 210, San Diego, CA 92128-3788 | Chiropractor | 2025-11-07 |
| Kristen Watkins | 607 W Oak St, West Frankfort, IL 62896-2537 | Chiropractor | 2025-11-07 |
| Reanna Untener | 9450 N Meridian St # 205, Indianapolis, IN 46260-1326 | Chiropractor | 2025-11-07 |
| Kimberly K Smith | 2108 Mustang Dr, La Porte, IN 46350-6436 | Chiropractor | 2025-11-08 |
| Ryan Ohl, Dc, Pa | 5211 S Fletcher Ave Ste 250, Fernandina Beach, FL 32034-5375 | Chiropractor | 2025-11-07 |
| C&L Venture Group LLC | 7305 Jarnigan Rd Ste 110, Chattanooga, TN 37421-4877 | Chiropractor | 2025-11-07 |
| Serviam Chiropractic and Wellness Plc | 2450 Delhi Commerce Dr Ste 2, Holt, MI 48842-2193 | Chiropractor | 2025-11-07 |
| Marina Amore Manuppelli | 333 Allegheny Ave Ste 202, Oakmont, PA 15139-2072 | Chiropractor | 2025-11-08 |
| Ripley Chiropractic LLC | 300 E Dimond Blvd Ste 10a, Anchorage, AK 99515-1947 | Chiropractor | 2025-11-07 |
| Find all providers with the same taxonomy | |||
| Street Address |
12500 AURORA DR |
| City | PLEASANT PRAIRIE |
| State | WI |
| Zip Code | 53158-1227 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Aurora Pharmacy Inc | 12500 Aurora Dr Ste 1000, Pleasant Prairie, WI 53158-1227 | Clinic Pharmacy | 2016-08-29 |
| Amanda Umnus · Amanda Ireland | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | Adult Health Nurse Practitioner | 2013-04-29 |
| Allison Bellford | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | Physical Therapist | 2019-02-26 |
| Alan J Licup | 12500 Aurora Dr, Pleasant Prairie, WI 53158 | Surgery Physician | 2007-05-03 |
| Jeffrey T Malone | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | Chiropractor | 2006-11-27 |
| Brian G Sapp | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | Pediatrics Physician | 2006-06-07 |
| Alma L Ochoa | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | Nurse Practitioner | 2014-01-09 |
| Kiryl N Shada | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | Mental Health Counselor | 2015-08-26 |
| Mary K Santarelli | 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | Occupational Therapist | 2011-07-22 |
| Aurora Medical Group, Inc. | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | Durable Medical Equipment & Medical Supplies | 2020-05-14 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Israel S Kasago | 7809 100th St, Pleasant Prairie, WI 53158-2806 | Dermatopathology Physician | 2015-03-25 |
| Syed Haider | 9555 76th St Ste 1200, Pleasant Prairie, WI 53158-1984 | Hematology & Oncology Physician | 2005-11-03 |
| Leilani Gruezo Luell | 10256 Old Green Bay Rd Ste 200, Pleasant Prairie, WI 53158-2814 | Registered Nurse | 2019-02-22 |
| Hospice Alliance, Inc. | 10220 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1946 | Community Based Hospice Care Agency | 2005-05-23 |
| Olaoluwa O. Bode-Omoleye | 7809 100th St, Pleasant Prairie, WI 53158-2806 | Hematology (Pathology) Physician | 2013-05-06 |
| Platina Coy Gershtenson | 9020 76th St Ste E, Pleasant Prairie, WI 53158-1976 | Dermatology Physician | 2007-12-13 |
| Rachael A Deck | 7520 118th Ave, Pleasant Prairie, WI 53158-1128 | Pharmacist | 2012-02-10 |
| Casie A Friedrich · Casie Ann Houmes | 8500 75th St, Ste 101, Pleasant Prairie, WI 53158-2049 | Physician Assistant | 2018-10-24 |
| Azimabbas Saiyed | 9555 76th St Fl 2, Pleasant Prairie, WI 53158-1984 | Student in an Organized Health Care Education/Training Program | 2017-05-30 |
| Natalie Anne Scherff | 9555 76th St, Pleasant Prairie, WI 53158-1984 | Family Nurse Practitioner | 2023-03-01 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Andre M Reese | 2435 6th Ave, Troy, NY 12180-2227 | Addiction (Substance Use Disorder) Counselor | 2025-02-12 |
| Jeffrey C Reese | 597 W Sesame Dr, Suite A, Harlingen, TX 78550-8364 | Surgery Physician | 2005-11-02 |
| Reese Tyler | 900 Branchview Dr Ne Ste 215, Concord, NC 28025-2239 | Behavior Technician | 2025-09-30 |
| Reese Cooper · Reese Burke | 890 S Kerr Ave, Wilmington, NC 28403-4245 | Clinical Social Worker | 2025-09-12 |
| Raven Reese | 2013 General Meyer Ave, New Orleans, LA 70114-1533 | Clinical Social Worker | 2023-03-13 |
| Judith L Reese | 1541 Dale Mabry Hwy, Suite 201, Lutz, FL 33548-3017 | Audiologist | 2005-10-27 |
| Joey Reese Renzi · Joey Reese Pugmire | 528 E Spokane Falls Blvd Ste 14, Spokane, WA 99202-5081 | Behavioral Analyst | 2020-06-22 |
| Sharmaine Reese | 1941 S 42nd St Ste 129, Omaha, NE 68105-2938 | Personal Care Attendant | 2025-09-24 |
| Reese Maynard | 4719 Viewridge Ave Ste 100, San Diego, CA 92123-1685 | Behavior Technician | 2025-10-22 |
| Caitlin Reese | 12650 Hamilton Crossing Blvd, Carmel, IN 46032-5400 | Behavior Technician | 2025-03-03 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |