Individual provider Active NPI

Brittney Reisnour, DC

  • Rehabilitation Chiropractor
  • Coon Rapids, MN
National Provider Identifier
1144741620
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
6216 Issued in MN
Practice address
3200 Main St NW Ste 330
Coon Rapids, MN 55448-8407
Phone
(763) 280-7720
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 6216 MN Primary

Addresses

Primary practice location

3200 Main St NW Ste 330
Coon Rapids, MN 55448-8407

Mailing address

3200 Main St NW Ste 330
Coon Rapids, MN 55448-8407
Phone (763) 280-7720

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6216MNMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Startingblock Chiropractic LLC CurrentSince May 3, 2020 Accepting new patients

Locations

3200 Main St NW
Ste 330
Coon Rapids, MN 55448
Phone (763) 280-7720

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1144741620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MAIN ST NW STE 330",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554488407",
            "telephone_number": "763-280-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MAIN ST NW STE 330",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554488407",
            "telephone_number": "763-280-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISNOUR",
        "first_name": "BRITTNEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "6216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.