SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC
NPI 1790312171
Family Medicine - Geriatric Medicine in Kaukauna, WI

Q: What is Sequoia Integrative Medical Services LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since March 25, 2020

1746 PAUL DR, KAUKAUNA, WI 54130(920) 422-7402 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 17, 2026, Mar 12, 2026, Sep 4, 2025 and 4 more (7 updates tracked since 2020).

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About Sequoia Integrative Medical Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC (NPI 1790312171) is a healthcare organization registered as a geriatric medicine in Kaukauna, Wisconsin and active in the NPI registry since March 2020. The organization lists Mary K Friess, President, as its authorized official.

NPPES Registry Identity

NPI1790312171

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameSEQUOIA INTEGRATIVE MEDICAL SERVICES LLC

Location Address1746 PAUL DRKaukauna, WI 54130-3014

Mailing AddressPo Box 411Riverside, IL 60546-6411 · (920) 422-7402

Phone(920) 422-7402

Organization SubpartNo

Authorized OfficialMary K FriessPresident · (920) 422-7402

Enumeration DateMarch 25, 2020

Last NPPES UpdateApril 17, 20267 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1790312171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

1746 PAUL DR, Kaukauna, WI 54130

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Other Identifiers 1

Medicaid36015700WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATIE HAGERSTROM MSN, APNP, AGPC-BC

Internal Medicine (Geriatric Medicine)

1746 PAUL DR
KAUKAUNA, WI 54130

Outagamie County (920) 422-7402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sequoia Integrative Medical Services LLC's NPI number?

The NPI number for Sequoia Integrative Medical Services LLC is 1790312171. It was assigned to this organization in the NPPES registry on March 25, 2020.

Where is Sequoia Integrative Medical Services LLC located?

Sequoia Integrative Medical Services LLC is located at 1746 Paul Dr, Kaukauna, WI 54130. The listed phone number is (920) 422-7402.

What is Sequoia Integrative Medical Services LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

What insurance does Sequoia Integrative Medical Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Security Health Plan list Sequoia Integrative Medical Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sequoia Integrative Medical Services LLC was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.