Individual provider Active NPI

Alexa Rae Veeder, DC

  • Chiropractor
  • Lakeville, MN
National Provider Identifier
1184199838
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6641 Issued in MN
Practice address
16283 Ipava Ave
Lakeville, MN 55044-4658
Phone
(952) 898-2287
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6641 MN Primary

Addresses

Primary practice location

16283 Ipava Ave
Lakeville, MN 55044-4658

Mailing address

16283 Ipava Ave
Lakeville, MN 55044-4658
Phone (952) 898-2287

Other practice location 1

435 Willard Ave Ste B
Newington, CT 06111-2318
Phone (860) 665-0826

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lakeville

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191010000172 MN Practitioner - Chiropractic 9537490297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6641MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Motion Sports Rehab and Fitness Rehabilitation Past Accepting new patients

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1184199838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16283 IPAVA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444658",
            "telephone_number": "952-898-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16283 IPAVA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444658",
            "telephone_number": "952-898-2287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Willard Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061112318",
            "country_code": "US",
            "telephone_number": "860-665-0826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEEDER",
        "first_name": "ALEXA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lakeville",
            "affiliation": "N",
            "address_1": "16283 Ipava Ave",
            "city": "Lakeville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550444658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.