Active NPI
Rachel Lois Stevenson, DC
- Chiropractor
- Plymouth, MN
National Provider Identifier
1437870581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7018
- Practice address
- 4205 Lancaster LN N Ste 105
Plymouth, MN 55441-1702 - Phone
- (763) 536-1112
- Fax
- (763) 536-0471
- NPI assigned
- Sep 7, 2022
- 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 | 7018 | MN | Primary |
Addresses
Primary practice location
4205 Lancaster LN N Ste 105
Plymouth, MN 55441-1702
Mailing address
4205 Lancaster LN N Ste 105
Plymouth, MN 55441-1702
Phone (763) 536-1112
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | healthsourcechiro.com/plymouth |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4205 Lancaster LN N
Suite 105
Plymouth, MN 55441-1702
Phone (763) 536-1112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Chiropractor
- Plymouth, MN
- NPI 1568679264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1437870581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 LANCASTER LN N STE 105",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554411702",
"telephone_number": "763-536-1112",
"fax_number": "763-536-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 LANCASTER LN N STE 105",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554411702",
"telephone_number": "763-536-1112",
"fax_number": "763-536-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "RACHEL",
"middle_name": "LOIS",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "7018",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "healthsourcechiro.com/plymouth",
"affiliation": "N",
"address_1": "4205 Lancaster Ln N Ste 105",
"city": "Plymouth",
"state": "MN",
"country_code": "US",
"postal_code": "554411702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.