Amy J Goulet, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06715 Issued in IA

Practice address

2377 Cumberland Square Dr
Bettendorf, IA 52722-3251

Phone

(563) 359-9541

Fax

(563) 344-3914

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abundant Life Chiropractic of Belton PCGroup PAC ID 2062733728, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abundant Life Chiropractic of Belton, P.C.

  • Chiropractor
  • Belton, MO
  • NPI 1780096560
  Medicare reassignment Care Compare group NPD Authorized official
• Nelson Chiropractic Systems, P.C.

  dba Nelson Chiropractic

  • Chiropractor
  • Bettendorf, IA
  • NPI 1477566404
  NPD (past)
• Galesburg Wellness Systems P.C.

  dba Galesburg Wellness Center

  • Chiropractor
  • Galesburg, IL
  • NPI 1255813770
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1003870924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 CUMBERLAND SQUARE DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223251",
            "telephone_number": "563-359-9541",
            "fax_number": "563-344-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 CUMBERLAND SQUARE DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223251",
            "telephone_number": "563-359-9541",
            "fax_number": "563-344-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULET",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1477566404",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450536",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry J Goldsberry, LISW
• Theodore Goldsberry, R.PH.
• Good Life Homecare
• Rosemary L Goodding Robinson, CNM
• Shannon Marie Goss, ARNP
• Mary Graupmann, P.T.A.
• Nancy A Greenwood, PTA
• Nathan Robert Grewe, MDIV, TLMHC
• Grief Counseling and Therapeutic Services, LLC
• Alycia Jane Griffith

• Chiropractor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.