Individual provider Active NPI

Colleen Lynn Compel, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1205029063
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3748 Issued in NC
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

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
B459MedicaidNC

Other names 1

  • Mrs. Colleen Lynn Compel-Pickering Former name

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

LicenseStateTypeSpecialty
3748NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compel Chiropractic, PLLC Chiropractor CurrentSince Sep 1, 2012 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

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.

Verify at the official NPI Registry.