Individual provider Active NPI

Mikaela Foley-Lorenzen

  • Chiropractor
  • Manassas, VA
National Provider Identifier
1033674544
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557546 Issued in VA
Practice address
10633 Crestwood Dr
Manassas, VA 20109-3433
Phone
(703) 368-9887
Fax
(703) 369-0603
NPI assigned
Feb 8, 2019
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557546 VA Primary

Addresses

Primary practice location

10633 Crestwood Dr
Manassas, VA 20109-3433

Mailing address

10633 Crestwood Dr
Manassas, VA 20109-3433
Phone (703) 368-9887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190314002295 VA Practitioner - Chiropractic 8729328596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Care of ManassasGroup PAC ID 5193716314, 2 clinicians

Practice addresses (Care Compare)

10633 Crestwood Dr
Manassas, VA 20109-3433
Phone (703) 368-9887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Care of Manassas Chiropractor CurrentSince Feb 20, 2019 Accepting new patients

Locations

10633 Crestwood Dr
Manassas, VA 20109
Phone (703) 368-9887

Organizations & group practices 1

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1033674544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10633 CRESTWOOD DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093433",
            "telephone_number": "703-368-9887",
            "fax_number": "703-369-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10633 CRESTWOOD DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093433",
            "telephone_number": "703-368-9887",
            "fax_number": "703-369-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY-LORENZEN",
        "first_name": "MIKAELA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.