Individual provider Active NPI

Felicia Campbell, DC

  • Chiropractor
  • Council Bluffs, IA
National Provider Identifier
1043774185
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
101432 Issued in IA
Practice address
928 Valley View Dr
Ste 14
Council Bluffs, IA 51503-5288
Phone
(712) 828-4801
Fax
(712) 828-4802
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2001 NE
Chiropractor 111N00000X 101432 IA Primary

Addresses

Primary practice location

928 Valley View Dr
Ste 14
Council Bluffs, IA 51503-5288

Mailing address

928 Valley View Dr
Ste 14
Council Bluffs, IA 51503-5288
Phone (712) 828-4801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201027001092 IA Practitioner - Chiropractic 9234477936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

928 Valley View Dr
Suite 14
Council Bluffs, IA 51503-5288
Phone (712) 828-4801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101432IAMDChiropractor

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Aligned Chiropractic PLLC Chiropractor CurrentSince Oct 13, 2020 Accepting new patients

Locations

928 Valley View Dr
Ste 14
Council Bluffs, IA 51503
Phone (712) 828-4801

Networks

  • IA HMO
  • IA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1043774185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 VALLEY VIEW DR",
            "address_2": "STE 14",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035288",
            "telephone_number": "712-828-4801",
            "fax_number": "712-828-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 VALLEY VIEW DR",
            "address_2": "STE 14",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035288",
            "telephone_number": "712-828-4801",
            "fax_number": "712-828-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "FELICIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2001",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "101432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.