Healthsource of Eden Prairie, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4917 Issued in MN

Legal business name

HEALTHSOURCE OF EDEN PRAIRIE, PLLC

Practice address

7920 Mitchell Rd
Eden Prairie, MN 55344-2218

Phone

(612) 396-4520

NPI assigned

Dec 6, 2010

Last updated

Dec 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Kearney-Bidwell, DCNPI 1265626147

Title

Owner/Chiropractor

Phone

(612) 396-4520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Elizabeth Kearney-Bidwell, D.C.

  • Chiropractor
  • Shakopee, MN
  • NPI 1265626147
  Medicare reassignment Care Compare group NPD Authorized official
• Dillon Andrew Riehle, DC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1730652132
  Medicare reassignment Care Compare group NPD
• Lianna Valerie Morrow, DC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1063940484
  NPD
• Andrea Elizabeth Fetzek, D.C.

  • Chiropractor
  • Hopkins, MN
  • NPI 1730459512
  NPD (past)
• Nicole Marie Lauer, D.C.

  • Chiropractor
  • Burnsville, MN
  • NPI 1396933313
  NPD (past)

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1144523689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 MITCHELL RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 MITCHELL RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442218",
            "telephone_number": "612-396-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF EDEN PRAIRIE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "KEARNEY-BIDWELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "612-396-4520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hays, PHARMD
• Tracie Heacox
• Heal Bridge Recuperative Care LLC
• Heal Well Recovery
• Healing & Restoration Consulting LLC
• Healthsource of Edina, PLLC (HealthSource of Edina)
• Healthstar Chiropractic Center, P.a.
• Healthy Living Chiropractic, LLC
• Healthy Weighs Metabolic Health and Weight Management Clinic, PLLC (Healthy Weighs Clinic)
• Jillian Marie Heath, PT

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.