Active NPI
Michelle Renee Lykins, DC
- Chiropractor
- Richmond, VA
National Provider Identifier
1417064247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000673
- Practice address
- 1811 Raintree Dr
Richmond, VA 23238-4236 - Phone
- (804) 741-4433
- Fax
- (804) 741-4857
- NPI assigned
- Aug 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000673 | VA | Primary |
| Sports Physician Chiropractor | 111NS0005X | 3550 | VA |
Addresses
Primary practice location
1811 Raintree Dr
Richmond, VA 23238-4236
Mailing address
1811 Raintree Dr
Richmond, VA 23238-4236
Phone (804) 741-4433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120208000413 | VA | Practitioner - Chiropractic | 3476710161 | Practice locations: Henrico, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1811 Raintree Dr
Henrico, VA 23238-4236
Phone (804) 741-4433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3550 | VA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle R Lykins DC PC | Past | Accepting new patients |
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.
-
- Clinic/Center
- Richmond, VA
- NPI 1588930655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1417064247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 RAINTREE DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232384236",
"telephone_number": "804-741-4433",
"fax_number": "804-741-4857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 RAINTREE DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232384236",
"telephone_number": "804-741-4433",
"fax_number": "804-741-4857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYKINS",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000673",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "VA",
"license": "3550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.