Individual provider Active NPI

Nichole Alexandra Borell, D.C.

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1013143858
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5722 Issued in MN
Practice address
5536 Chicago Ave
Minneapolis, MN 55417-2446
Phone
(612) 827-0657
Fax
(612) 827-3102
NPI assigned
Jun 8, 2009
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5722 MN Primary

Addresses

Primary practice location

5536 Chicago Ave
Minneapolis, MN 55417-2446

Mailing address

5536 Chicago Ave
Minneapolis, MN 55417-2446
Phone (612) 827-0657

Other names 1

  • Nichole Alexandra Schreifels Former name

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
31298CAMDPsychologist
5722MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Chiropractic, P.a. Chiropractor CurrentSince Feb 4, 2013 Accepting new patients
In8 Family Chiropractic PA Chiropractor PastSince Feb 4, 2013 Accepting new patients
Advanced Chiropractic Offices Chiropractor Past Accepting new patients

Locations

5536 Chicago Ave
Minneapolis, MN 55417
Phone (612) 827-0657

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1013143858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172446",
            "telephone_number": "612-827-0657",
            "fax_number": "612-827-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172446",
            "telephone_number": "612-827-0657",
            "fax_number": "612-827-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORELL",
        "first_name": "NICHOLE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "SCHREIFELS",
            "middle_name": "ALEXANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.