Active NPI
Stephanie Allecia Vlaminck, D.C.
- Chiropractor
- Minneota, MN
National Provider Identifier
1073840625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5382
- Practice address
- 110 W 5TH St
Minneota, MN 56264-9612 - Phone
- (507) 872-5200
- Fax
- (507) 872-5236
- NPI assigned
- Nov 3, 2009
- Last updated
- Aug 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5382 | MN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
110 W 5TH St
Minneota, MN 56264-9612
Mailing address
PO Box 93
Minneota, MN 56264-0093
Phone (507) 872-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
118 4TH St
Ironton, MN 56455-2180
Phone (218) 772-0011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5382 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brainerd Lakes Wellness, PC | Chiropractor | Current | Accepting new patients |
| The Health Enhancement Centers, P.a. | Chiropractor | Past | Accepting new patients |
Locations
7818 Excelsior Rd
Ste 100
Baxter, MN 56425
Phone (218) 454-9355
Organizations & group practices 3
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.
-
- Rehabilitation Chiropractor
- Minneota, MN
- NPI 1417277054
-
- Chiropractor
- Baxter, MN
- NPI 1316260417
-
dba Fixen Chiropractic
- Chiropractor
- Marshall, MN
- NPI 1427282268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1073840625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93",
"city": "MINNEOTA",
"state": "MN",
"postal_code": "562640093",
"telephone_number": "507-872-5200",
"fax_number": "507-872-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 5TH ST",
"city": "MINNEOTA",
"state": "MN",
"postal_code": "562649612",
"telephone_number": "507-872-5200",
"fax_number": "507-872-5236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLAMINCK",
"first_name": "STEPHANIE",
"middle_name": "ALLECIA",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5382",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneota, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.