Nicole Rosanna Perreault, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5751 Issued in MN

Practice address

263 W 4TH Street
Rush City, MN 55069

Phone

(320) 358-3441

Fax

(320) 358-3624

NPI assigned

Jul 2, 2008

Last updated

Feb 12, 2018By 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 2

Addresses

Other names 1

• Dr. Nicole Rosanna Perreault Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Roger E Perreault, DC

  • Chiropractor
  • Rush City, MN
  • NPI 1912942178
  Medicare reassignment

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1174786800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "RUSH CITY",
            "state": "MN",
            "postal_code": "55069",
            "telephone_number": "320-358-3441",
            "fax_number": "320-358-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 W 4TH STREET",
            "city": "RUSH CITY",
            "state": "MN",
            "postal_code": "55069",
            "telephone_number": "320-358-3441",
            "fax_number": "320-358-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREAULT",
        "first_name": "NICOLE",
        "middle_name": "ROSANNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5751",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "104388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PERREAULT",
            "middle_name": "ROSANNA",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William H E Kieper, DDS
• April Marie Klar, LPN
• Donna M Neumann, RN
• Tuyen Van Nguyen, D.D.S.
• Perreault Chiropractic (Roger E Perreault)
• Roger E Perreault, DC
• Lisa Marie Reichow, RN
• Rock Elm Country Homes
• Rush City School District
• Stacey Schultz, RN

• Chiropractor in Rush City, MN
• Providers in Rush City, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.