Active NPI
Nicole Michelle Pearson, DC
- Chiropractor
- Ralston, NE
National Provider Identifier
1356511133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1508
- Practice address
- 8318 Lakeview St
Ralston, NE 68127-2733 - Phone
- (402) 933-1933
- NPI assigned
- Mar 7, 2008
- Last updated
- Mar 22, 2021
- 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 | 1508 | NE | Primary |
Addresses
Primary practice location
8318 Lakeview St
Ralston, NE 68127-2733
Mailing address
8318 Lakeview St
Ralston, NE 68127-2733
Phone (402) 213-1180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
8318 Lakeview St
Ralston, NE 68127-2733
Phone (402) 933-1933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1508 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koca Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Ralston, NE
- NPI 1063748978
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- Chiropractor
- Omaha, NE
- NPI 1609025592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1356511133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8318 LAKEVIEW ST",
"city": "RALSTON",
"state": "NE",
"postal_code": "681272733",
"telephone_number": "402-213-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8318 LAKEVIEW ST",
"city": "RALSTON",
"state": "NE",
"postal_code": "681272733",
"telephone_number": "402-933-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "NICOLE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-07",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ralston, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.