Active NPI
Julie Kay Elder, D.C.
- Chiropractor
- Chatfield, MN
National Provider Identifier
1083746812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001873
- Practice address
- 119 Main St S
Chatfield, MN 55923-1253 - Phone
- (507) 867-3558
- NPI assigned
- Mar 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001873 | MN | Primary |
Addresses
Primary practice location
119 Main St S
Chatfield, MN 55923-1253
Mailing address
119 Main St S
Chatfield, MN 55923-1253
Phone (507) 867-3558
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39251EL | Other | MN | BLUE CROSS BLUE SHIELD |
| 4948271 | Medicaid | MN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001873 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1083746812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 MAIN ST S",
"city": "CHATFIELD",
"state": "MN",
"postal_code": "559231253",
"telephone_number": "507-867-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 MAIN ST S",
"city": "CHATFIELD",
"state": "MN",
"postal_code": "559231253",
"telephone_number": "507-867-3558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "JULIE",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "001873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "39251EL",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4948271",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chatfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.