Organization Active NPI

Coldstream Health, LLC

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1366840134
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007434 Issued in IA
Legal business name
COLDSTREAM HEALTH, LLC
Practice address
1950 Dodge Rd NE Ste 106
Cedar Rapids, IA 52402-2411
Phone
(319) 261-0052
NPI assigned
Dec 10, 2014
Last updated
Oct 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lindsey Luke, DCNPI 1548558018
Title
Chiropractor
Phone
(319) 261-0052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007434 IA Primary

Addresses

Primary practice location

1950 Dodge Rd NE Ste 106
Cedar Rapids, IA 52402-2411

Mailing address

1950 Dodge Rd NE Ste 106
Cedar Rapids, IA 52402-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150128000251 IA Part B Supplier - Clinic/Group Practice 4486978293 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Locations

1950 Dodge Rd NE
Ste 106
Cedar Rapids, IA 52402
Phone (319) 261-0052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1366840134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 DODGE RD NE STE 106",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DODGE RD NE STE 106",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022411",
            "telephone_number": "319-261-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDSTREAM HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "319-261-0052",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.