Tina Signe Axelsson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2768 Issued in NC

Practice address

7290 13 Beach Drive SW
Ocean Isle Beach, NC 28469

Phone

(910) 579-4888

Fax

(910) 579-4888

NPI assigned

Aug 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043326903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 13 BEACH DRIVE SW",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "28469",
            "telephone_number": "910-579-4888",
            "fax_number": "910-579-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 13 BEACH DRIVE SW",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "28469",
            "telephone_number": "910-579-4888",
            "fax_number": "910-579-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELSSON",
        "first_name": "TINA",
        "middle_name": "SIGNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2768",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDI",
            "identifier": "M451",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "CH2423",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STRATUS",
            "identifier": "PB197Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0845G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890845G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Williamson Anderson, FNP
• Heidi Vivian Bailey, LCSW
• Stephen Terry Baxley Jr., ARNP
• Beachside Therapy PLLC
• Benchmark Physical Therapy of NC, LLC
• Daniel R. Blizzard, DO

• Chiropractor in Ocean Isle Beach, NC
• Providers in Ocean Isle Beach, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.