Active NPI
Paula Nicole Bannister, DC
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1043170392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0009010
- Practice address
- 1401 Riverside Ave
Fort Collins, CO 80524-4376 - Phone
- (970) 377-1810
- NPI assigned
- Nov 17, 2025
- Last updated
- Nov 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0009010 | CO | Primary |
Addresses
Primary practice location
1401 Riverside Ave
Fort Collins, CO 80524-4376
Mailing address
1401 Riverside Ave
Fort Collins, CO 80524-4376
Phone (970) 377-1810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Riverside Ave
Fort Collins, CO 80524-4376
Phone (970) 377-1810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0009010 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thole Inc. | Chiropractor | Current | Accepting new patients |
Networks
- CO HMO
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO D-SNP
- CO HMO C-SNP
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.
-
- Chiropractor
- Fort Collins, CO
- NPI 1710109095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1043170392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 RIVERSIDE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244376",
"telephone_number": "970-377-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 RIVERSIDE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244376",
"telephone_number": "970-377-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNISTER",
"first_name": "PAULA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-17",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0009010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.