Individual provider Active NPI

Ericka Elizabeth McGovern, DC

  • Chiropractor
  • N Kingstown, RI
National Provider Identifier
1174545933
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00470 Issued in RI
Practice address
7293 Post Rd
N Kingstown, RI 02852-3212
Phone
(401) 667-3773
Fax
(401) 295-8607
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00470 RI Primary

Addresses

Primary practice location

7293 Post Rd
N Kingstown, RI 02852-3212

Mailing address

7293 Post Rd
N Kingstown, RI 02852-3212
Phone (401) 667-3773

Other identifiers 2

IdentifierTypeStateIssuer
410295OtherBLUE CHIP
4401321OtherUNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000383 RI Practitioner - Chiropractic 6901073006 Practice locations: North Kingstown, RI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7293 Post Rd
North Kingstown, RI 02852-3212
Phone (401) 667-3773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DCP00470RIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1174545933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7293 POST RD",
            "city": "N KINGSTOWN",
            "state": "RI",
            "postal_code": "028523212",
            "telephone_number": "401-667-3773",
            "fax_number": "401-295-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7293 POST RD",
            "city": "N KINGSTOWN",
            "state": "RI",
            "postal_code": "028523212",
            "telephone_number": "401-667-3773",
            "fax_number": "401-295-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "ERICKA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "410295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNC",
            "identifier": "4401321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.