Nicholle Diane Corcoran, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4779 Issued in MN

Practice address

323 W Broadway
Plainview, MN 55964-1255

Phone

(507) 534-2600

NPI assigned

Mar 5, 2007

Last updated

Dec 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Corcoran Family Chiropractic

  • Chiropractor
  • Saint Paul, MN
  • NPI 1407987415
  NPD (past) Authorized official
• Complete Health Center PA

  • Chiropractor
  • Marshall, MN
  • NPI 1700093911
  NPD (past)
• Schroeder Chiropractic, PLLC

  • Chiropractor
  • St Louis Park, MN
  • NPI 1578714226
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1154450278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W BROADWAY",
            "address_2": "PO BOX 665",
            "city": "PLAINVIEW",
            "state": "MN",
            "postal_code": "559641255",
            "telephone_number": "507-534-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W BROADWAY",
            "city": "PLAINVIEW",
            "state": "MN",
            "postal_code": "559641255",
            "telephone_number": "507-534-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "NICHOLLE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "491P9CO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876455000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alane M Booth, PA-C
• Nicole Heather Borgschatz, RN
• Jackie Anne Bruss
• Craig Chastek
• City of Plainview (Plainview Ambulance)
• Dr J L Stucky Chiropractor PA
• Jessica Elizabeth Fairclough
• Kathryn Ann Flanagan, OTR/L
• Grace Gebhart
• Haley Groski, LPN

• Chiropractor in Plainview, MN
• Providers in Plainview, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.