Active NPI
Jennifer B Eichman, D.C.
- Chiropractor
- Winona, MN
National Provider Identifier
1275519522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4508
- Practice address
- 601 E Sanborn St
Winona, MN 55987-4365 - Phone
- (507) 474-1530
- NPI assigned
- Dec 19, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 4508 | MN | Primary |
| Chiropractor | 111N00000X | 4019-012 | WI |
Addresses
Primary practice location
601 E Sanborn St
Winona, MN 55987-4365
Mailing address
601 E Sanborn St
Winona, MN 55987-4365
Phone (507) 474-1530
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315K0EI | Other | MN | BLUE CROSS BLUE SHIELD ID |
| 438049500 | Medicaid | MN | |
| 38951500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
601 E Sanborn St
Winona, MN 55987-4365
Phone (507) 474-1530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4019-012 | WI | MD | Chiropractor |
| 4508 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
601 E Sanborn St
Winona, MN 55987
Phone (507) 452-3774
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.
-
- Chiropractor
- Winona, MN
- NPI 1518942416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1275519522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E SANBORN ST",
"city": "WINONA",
"state": "MN",
"postal_code": "559874365",
"telephone_number": "507-474-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E SANBORN ST",
"city": "WINONA",
"state": "MN",
"postal_code": "559874365",
"telephone_number": "507-474-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHMAN",
"first_name": "JENNIFER",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4508",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4019-012",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "315K0EI",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "438049500",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38951500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.