Individual provider Active NPI

Jennifer Elizabeth Robideau, DC

  • Chiropractor
  • Olivia, MN
National Provider Identifier
1427173285
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4314 Issued in MN
Practice address
1325 West Lincoln Avenue
Olivia, MN 56277-1101
Phone
(320) 523-1253
Fax
(320) 523-1572
NPI assigned
Mar 20, 2007
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4314 MN Primary

Addresses

Primary practice location

1325 West Lincoln Avenue
Olivia, MN 56277-1101

Mailing address

1325 West Lincoln Avenue
Olivia, MN 56277-1101
Phone (320) 523-1253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000849 MN Practitioner - Chiropractic 5597655837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1325 W Lincoln Ave
Olivia, MN 56277-1272
Phone (320) 523-1253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Choice of Olivia Chiropractor CurrentSince Mar 15, 2004 Accepting new patients

Locations

1325 W Lincoln Ave
Olivia, MN 56277
Phone (320) 523-1253

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1427173285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 WEST LINCOLN AVENUE",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771101",
            "telephone_number": "320-523-1253",
            "fax_number": "320-523-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WEST LINCOLN AVENUE",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771101",
            "telephone_number": "320-523-1253",
            "fax_number": "320-523-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBIDEAU",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olivia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.

Verify at the official NPI Registry.