Organization Active NPI

Julie Collinschiropractic LLC

  • Chiropractor
  • Lexington, SC
National Provider Identifier
1154803781
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4208 Issued in SC
Legal business name
JULIE COLLINSCHIROPRACTIC LLC
Practice address
607A S Lake Dr
Lexington, SC 29072-3430
Phone
(803) 490-7945
Fax
(803) 808-0909
NPI assigned
Aug 30, 2018
Last updated
Aug 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Dr. Julie Livingston Collins, DCNPI 1265968838
Title
Doctor of Chiropractic
Phone
(803) 490-7945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4208 SC Primary

Addresses

Primary practice location

607A S Lake Dr
Lexington, SC 29072-3430

Mailing address

PO Box 927
Lexington, SC 29071-0927
Phone (803) 490-7945

Other identifiers 1

IdentifierTypeStateIssuer
CH4208MedicaidSC

National Provider Directory

National Provider Directory

Locations

607 S Lake Dr
#A
Lexington, SC 29072
Phone (803) 490-7945

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1154803781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 927",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290710927",
            "telephone_number": "803-490-7945",
            "fax_number": "803-808-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607A S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723430",
            "telephone_number": "803-490-7945",
            "fax_number": "803-808-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE COLLINSCHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LIVINGSTON",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "803-490-7945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH4208",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.