Individual provider Active NPI

Lori Kristine Goodsell, D.C.

  • Chiropractor
  • Plymouth, MN
National Provider Identifier
1083644470
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3850 Issued in MN
Practice address
3390 Annapolis LN N
Plymouth, MN 55447-5378
Phone
(763) 553-0387
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3850 MN Primary

Addresses

Primary practice location

3390 Annapolis LN N
Plymouth, MN 55447-5378

Mailing address

3390 Annapolis LN N
Plymouth, MN 55447-5379
Phone (763) 553-0387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3850MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Family Chiropractic Chiropractor PastSince Mar 10, 2005 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083644470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 ANNAPOLIS LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475379",
            "telephone_number": "763-553-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 ANNAPOLIS LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475378",
            "telephone_number": "763-553-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSELL",
        "first_name": "LORI",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.