Taylor Elizabeth Ruppert, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1879 Issued in LA

Practice address

102 Fontainbleau Dr # D1
Mandeville, LA 70471-6518

Phone

(985) 789-1720

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broadus Chiropractic Services, LLCGroup PAC ID 8527200567, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

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.

• Broadus Chiropractic Services, LLC

  • Chiropractor
  • Mandeville, LA
  • NPI 1578909206
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1043855810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FONTAINBLEAU DR # D1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716518",
            "telephone_number": "985-789-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FONTAINBLEAU DR # D1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716518",
            "telephone_number": "985-789-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPERT",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Overton Roy, DDS
• Tanesha Royal, MSW
• Shana Ruberstein, LMSW
• David Lynne Ruegsegger, DDS
• Kylie Chabreck Rumsey, RN
• Janice E. Rushing, BCSAC
• Lugene Russ Naparalla, M.C.D.
• Russo Rehabilitation, LLC
• Samantha Buras Russo, PMHNP-BC
• Ryan a Hildebrand DC, PCC

• Chiropractor in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.