Michele C McAvoy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5302 Issued in CO

Practice address

153 W Jefferson #428
Hayden, CO 81639

Phone

(970) 276-1215

Fax

(970) 276-1216

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2008.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1164582730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W JEFFERSON #428",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "81639",
            "telephone_number": "970-276-1215",
            "fax_number": "970-276-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W JEFFERSON #428",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "81639",
            "telephone_number": "970-276-1215",
            "fax_number": "970-276-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAVOY",
        "first_name": "MICHELE",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "663034",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Johnson, MSPT, MBA
• Leah Ann Kappelman
• Cori Elise Keberlein, LCSW
• Christina Lynn Leblanc, RDH
• Ericka Irene Lucas, PT, DPT, OCS
• Caroline McClenahan, MA, LPCC
• John Moore Merrill, M.D.
• Northwest Colorado Visiting Nurse Association
• Northwest Colorado Visiting Nurse Association
• Pediatrics of Steamboat Springs, PC

• All providers in Hayden, CO
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.