Carrie Lynn Collyard-Glinsek

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC4090 Issued in MN

Practice address

19242 Evans St NW
Elk River, MN 55330-1076

Phone

(763) 274-0377

NPI assigned

May 3, 2006

Last updated

Dec 19, 2014By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collyard Chiropractic P aGroup PAC ID 7618015520, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Collyard Chiropractic P a

  • Clinic/Center
  • Elk River, MN
  • NPI 1972837649
  Medicare reassignment Care Compare group NPD Authorized official
• Belde Chiropractic Clinic, PA

  • Chiropractor
  • Monticello, MN
  • NPI 1437295532
  NPD (past)
• IHS Midwest PC

  • Chiropractor
  • Monticello, MN
  • NPI 1588600043
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1205894870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11044 255TH AVE NW",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553984578",
            "telephone_number": "763-856-2828",
            "fax_number": "763-633-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19242 EVANS ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301076",
            "telephone_number": "763-274-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLYARD-GLINSEK",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC4090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "52F79CO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROV. #",
            "identifier": "52F80CO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "966407600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Codere, RN
• Katherina Jean Cohrs
• Fabio Cole
• Jessica Lee Collins
• Collyard Chiropractic P a
• Community Nurse
• Community Nurse
• Jennifer Lynn Conard
• Nancy J Craft, MS, LPCC
• Jared William Creighton

• Chiropractor in Elk River, MN
• Providers in Elk River, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.