Active NPI
Wellnessone of Southpointe P.C.
- Chiropractor
- Lincoln, NE
National Provider Identifier
1295879807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 991
- Legal business name
- WELLNESSONE OF SOUTHPOINTE P.C.
- Practice address
- 4210 Pioneer Woods Dr.
Ste B
Lincoln, NE 68506-7550 - Phone
- (402) 420-5373
- Fax
- (402) 484-5677
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy L Porter
- Title
- Cfo
- Phone
- (402) 420-5303
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Chiropractor | 111N00000X | 991 | NE | Primary |
Addresses
Primary practice location
4210 Pioneer Woods Dr.
Ste B
Lincoln, NE 68506-7550
Mailing address
4210 Pioneer Woods Dr.
Ste B
Lincoln, NE 68506-7550
Phone (402) 420-5373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4107 Pioneer Woods Dr
Ste 111
Lincoln, NE 68506
Phone (402) 904-8343
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lincoln, NE
- NPI 1275623787
-
- Chiropractor
- Lincoln, NE
- NPI 1871639633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374796800000",
"number": "1295879807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 PIONEER WOODS DR.",
"address_2": "STE B",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067550",
"telephone_number": "402-420-5373",
"fax_number": "402-484-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 PIONEER WOODS DR.",
"address_2": "STE B",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067550",
"telephone_number": "402-420-5373",
"fax_number": "402-484-5677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESSONE OF SOUTHPOINTE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2013-07-26",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "402-420-5303"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NE",
"license": "991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.