Olivia Gurule-Rietmann, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC2289 Issued in NM

Practice address

2469 Corrales Rd Ste E
Corrales, NM 87048-9148

Phone

(505) 589-9571

NPI assigned

Jul 15, 2022

Reactivated

Jun 29, 2023

Last updated

Jun 29, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: info@enchantmentuppercervical.com

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.

• Enchantment Upper Cervical LLC

  dba Enchantment Upper Cervical Chiropractic

  • Chiropractor
  • Corrales, NM
  • NPI 1164130548
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1285368118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 TIOGA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202352",
            "telephone_number": "505-589-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 CORRALES RD STE E",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870489148",
            "telephone_number": "505-589-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURULE-RIETMANN",
        "first_name": "OLIVIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "deactivation_date": "2022-11-14",
        "reactivation_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "DC2289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@enchantmentuppercervical.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2469 Corrales Rd Ste E",
            "city": "Corrales",
            "state": "NM",
            "country_code": "US",
            "postal_code": "870489148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kylee J Gordley-Shurter, LPCC
• Jerome Eldon Goss, MD
• Gail J Grambling Harrison, LPCC
• Grambling Therapy Inc
• Gray Wolf Counseling, Inc.
• Nancy Handmaker, PHD
• Randall L Haratyk, PT
• James Harding, MD
• Dawn R Hart, MS. CCC-SLP
• Anita Marie Harwood, LMHC

• Chiropractor in Corrales, NM
• Providers in Corrales, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.