Active NPI
Alexa Nicole Nichols, DC
- Chiropractor
- Shakopee, MN
National Provider Identifier
1356002463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6943
- Practice address
- 4109 Dean Lakes Blvd
Shakopee, MN 55379-2851 - Phone
- (612) 767-2800
- NPI assigned
- Jan 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6943 | MN | Primary |
Addresses
Primary practice location
4109 Dean Lakes Blvd
Shakopee, MN 55379-2851
Mailing address
4109 Dean Lakes Blvd
Shakopee, MN 55379-2851
Phone (612) 767-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Chiromedical Clinic, P.a. | Chiropractor | Current | Accepting new patients |
Locations
33 Hamline Ave S
Saint Paul, MN 55105
Phone (612) 868-6894
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641081600000",
"number": "1356002463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 DEAN LAKES BLVD",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553792851",
"telephone_number": "612-767-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 DEAN LAKES BLVD",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553792851",
"telephone_number": "612-767-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "ALEXA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-02",
"last_updated": "2022-01-02",
"certification_date": "2022-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.