Active NPI
Heather Dawn Pritchard, DC
- Chiropractor
- St Louis Park, MN
National Provider Identifier
1124108642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4562
- Practice address
- 5050 W 36TH St
Suite 100
St Louis Park, MN 55416-5469 - Phone
- (612) 920-1092
- Fax
- (612) 928-0375
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 4562 | MN | Primary |
Addresses
Primary practice location
5050 W 36TH St
Suite 100
St Louis Park, MN 55416-5469
Mailing address
10641 Greenbrier Rd
Apt 224
Minnetonka, MN 55305-6401
Phone (612) 920-1092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884S3PR | Other | MN | BCBS PROVIDER ID |
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 |
|---|---|---|---|
| 4562 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aagesen Chiropractic Clinic PA | Chiropractor | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124108642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10641 GREENBRIER RD",
"address_2": "APT 224",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553056401",
"telephone_number": "612-920-1092",
"fax_number": "612-928-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 W 36TH ST",
"address_2": "SUITE 100",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165469",
"telephone_number": "612-920-1092",
"fax_number": "612-928-0375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHARD",
"first_name": "HEATHER",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "884S3PR",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, 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.