Active NPI
Colleen Lynn Compel, D.C.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1205029063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3748
- Practice address
- 5200 Park Rd
Suite 207-E
Charlotte, NC 28209 - Phone
- (539) 302-4476
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3286 | SC | |
| Chiropractor | 111N00000X | 3748 | NC | Primary |
Addresses
Primary practice location
5200 Park Rd
Suite 207-E
Charlotte, NC 28209
Mailing address
5200 Park Rd
Suite 207-E
Charlotte, NC 28209
Phone (539) 302-4476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B459 | Medicaid | NC |
Other names 1
- Mrs. Colleen Lynn Compel-Pickering
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3748 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compel Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
5200 Park Rd
Ste 207E
Charlotte, NC 28209
Phone (539) 302-4476
1201 East Blvd
Charlotte, NC 28203
Phone (704) 332-1201
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1205029063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 PARK RD",
"address_2": "SUITE 207-E",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28209",
"telephone_number": "539-302-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 PARK RD",
"address_2": "SUITE 207-E",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28209",
"telephone_number": "539-302-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPEL",
"first_name": "COLLEEN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3286",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B459",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "COMPEL-PICKERING",
"middle_name": "LYNN",
"prefix": "MRS.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
- Compassionate Home Care Solution LLC
- Compassionate Life Counseling PLLC
- Compassionate Tender Care LLC
- Compcare Personal Services, LLC
- Compel Chiropractic, PLLC (Compel Chiropractic)
- Complete Care at Charlotte LLC
- Complete Care at Dartmouth LLC
- Complete Care Direct Primary Care, LLC (Complete Care DPC)
- Complete Counseling and Consulting Services, PLLC
- Complete Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.