Active NPI
Gina M Riecker, DC
- Chiropractor
- Celestine, IN
National Provider Identifier
1356537203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001470A
- Practice address
- 6683 E Saint Mary St
Celestine, IN 47521-5412 - Phone
- (812) 634-2482
- NPI assigned
- Sep 24, 2007
- Last updated
- Aug 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 08001470A | IN | Primary |
Addresses
Primary practice location
6683 E Saint Mary St
Celestine, IN 47521-5412
Mailing address
6683 E Saint Mary St
Celestine, IN 47521-5412
Phone (812) 634-2482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000284209 | Other | IN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001470A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1356537203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6683 E SAINT MARY ST",
"city": "CELESTINE",
"state": "IN",
"postal_code": "475215412",
"telephone_number": "812-634-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6683 E SAINT MARY ST",
"city": "CELESTINE",
"state": "IN",
"postal_code": "475215412",
"telephone_number": "812-634-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIECKER",
"first_name": "GINA",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001470A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000284209",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Celestine, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.