Individual provider Active NPI

Rachelle Elise Chamberlain, DC

  • Chiropractor
  • Bloomington, IN
National Provider Identifier
1154992394
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003244A Issued in IN
Practice address
619 N Morton St Ste 1
Bloomington, IN 47404-4098
Phone
(812) 822-2592
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003244A IN Primary

Addresses

Primary practice location

619 N Morton St Ste 1
Bloomington, IN 47404-4098

Mailing address

619 N Morton St Ste 1
Bloomington, IN 47404-4098
Phone (812) 822-2592

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drrachelle@well-beingstudio.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
08003244AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Root Wellness Chiropractic LLC Chiropractor Current Accepting new patients
NPI 1831754399 Chiropractor CurrentSince Jul 17, 2021 Accepting new patients

Locations

619 N Morton St
Ste 1
Bloomington, IN 47404
Phone (812) 822-2592

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1154992394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N MORTON ST STE 1",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474044098",
            "telephone_number": "812-822-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N MORTON ST STE 1",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474044098",
            "telephone_number": "812-822-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "RACHELLE",
        "middle_name": "ELISE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003244A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drrachelle@well-beingstudio.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "619 N Morton St Ste 1",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474044098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.