Active NPI
Ellie Marie Bennett, D.C.
- Chiropractor
- Robbinsdale, MN
National Provider Identifier
1144314139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4852
- Practice address
- 4080 W Broadway Ave
Ste. 218
Robbinsdale, MN 55422-5604 - Phone
- (763) 535-4342
- NPI assigned
- Oct 3, 2006
- 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 | 4852 | MN | Primary |
Addresses
Primary practice location
4080 W Broadway Ave
Ste. 218
Robbinsdale, MN 55422-5604
Mailing address
3109 York Ave N
Robbinsdale, MN 55422-5418
Phone (763) 287-0551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154H1BE | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Ellie Marie Schnitzler
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
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.
-
- Chiropractor
- Robbinsdale, MN
- NPI 1033209960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1144314139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 YORK AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554225418",
"telephone_number": "763-287-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 W BROADWAY AVE",
"address_2": "STE. 218",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554225604",
"telephone_number": "763-535-4342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "ELLIE",
"middle_name": "MARIE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "154H1BE",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELLIE",
"last_name": "SCHNITZLER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.