Active NPI
Tracy Lynn Kirschner, D.C.
- Chiropractor
- Fairfield, IA
National Provider Identifier
1003186453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05769
- Practice address
- 104 S 2ND St
Fairfield, IA 52556-3305 - Phone
- (303) 775-9891
- NPI assigned
- Jan 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A05769 | IA | Primary |
| Chiropractor | 111N00000X | 4186 | CO |
Addresses
Primary practice location
104 S 2ND St
Fairfield, IA 52556-3305
Mailing address
1735 Linden Ave
Boulder, CO 80304-1537
Phone (303) 443-9892
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4186 | CO | MD | Chiropractor |
| A05769 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1003186453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 LINDEN AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041537",
"telephone_number": "303-443-9892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S 2ND ST",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525563305",
"telephone_number": "303-775-9891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSCHNER",
"first_name": "TRACY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A05769",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4186",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.