Active NPI
Alexandria Richardson
- Chiropractor
- Roscoe, IL
National Provider Identifier
1407222029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012846
- Practice address
- 11824 Main St
Roscoe, IL 61073-9561 - Phone
- (812) 623-6534
- NPI assigned
- Aug 18, 2015
- 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 | 038012846 | IL | Primary |
Addresses
Primary practice location
11824 Main St
Roscoe, IL 61073-9561
Mailing address
11824 Main St
Roscoe, IL 61073-9561
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 |
|---|---|---|---|
| 038012846 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McFarland Family Chiropractic | Chiropractor | Current | Accepting new patients |
| Life Balance Medical Center | Past | Accepting new patients |
Locations
4701 Dale Curtin Dr
McFarland, WI 53558
Phone (608) 838-1203
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 and National Provider Directory roles.
-
- Chiropractor
- MC Farland, WI
- NPI 1619360195
-
- General Practice Physician
- Roscoe, IL
- NPI 1790332815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1407222029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11824 MAIN ST",
"city": "ROSCOE",
"state": "IL",
"postal_code": "610739561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11824 MAIN ST",
"city": "ROSCOE",
"state": "IL",
"postal_code": "610739561",
"telephone_number": "812-623-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ALEXANDRIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roscoe, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.